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New York rates for MS-DRG 035

Carotid artery stent procedure w CC

Facilitymedian $60,256 · 10th–90th $22,909–$93,3250%5%10%10th90th$60,256$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $51,286.14 / $93,325.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $75,857.76 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $66,069.34 / $87,096.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $58,884.37 / $147,910.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $22,908.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $48,977.88 / $83,176.38