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New York rates for MS-DRG 001

Heart transplant or implant of heart assist system w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222,986.00 / $488,260.00 / $824,379.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512,305.00 / $805,219.02 / $1,144,140.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $3,500.00 / $3,500.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358,089.39 / $660,971.71 / $1,357,309.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521,514.00 / $521,514.00 / $676,541.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,870.00 / $586,960.59 / $901,753.05