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Wyoming rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,506.50 / $17,135.48 / $68,326.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,646.00 / $77,493.55 / $83,791.61