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Alaska rates for MS-DRG 279

Ultrasound accelerated & oth thrombolysis of periph vascular w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,621.20 / $94,931.30 / $192,875.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145,107.10 / $145,107.10 / $154,173.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $56,079.52 / $78,605.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $49,825.31 / $154,173.60