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Oregon rates for MS-DRG 278

Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,577.50 / $132,531.00 / $160,028.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $119,673.30 / $183,721.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90,359.92 / $106,558.94 / $133,492.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,546.42 / $74,613.57 / $88,558.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,254.81 / $104,182.02 / $160,351.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $116,929.16 / $168,238.40