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Michigan 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
$21,638.40 / $31,556.00 / $51,225.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,198.76 / $51,461.95 / $65,976.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,408.57 / $47,326.79 / $58,852.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,576.10 / $33,936.19 / $54,265.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,402.45 / $45,148.52 / $68,593.73