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Tennessee 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
$30,138.70 / $50,879.10 / $89,532.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,986.04 / $41,662.21 / $68,304.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,415.85 / $46,898.09 / $63,281.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.00 / $44,924.92 / $66,707.58