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Massachusetts 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
$23,914.00 / $56,259.80 / $73,455.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $50,713.20 / $137,576.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,788.68 / $52,563.28 / $79,423.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,645.27 / $74,645.27 / $74,645.27
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,801.28 / $52,952.77 / $81,771.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $50,713.20 / $137,576.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $50,713.20 / $107,517.60