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California 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
$15,697.00 / $39,978.40 / $91,418.60
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.00 / $51,471.67 / $87,942.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,499.39 / $82,243.95 / $127,630.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,318.78 / $60,576.70 / $118,235.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.00 / $44,456.09 / $95,854.51