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California rates for MS-DRG 218

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,874.00 / $56,991.00 / $169,912.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,171.00 / $85,128.53 / $285,412.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $73,000.00 / $217,755.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,642.00 / $91,364.68 / $304,552.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108,574.73 / $157,656.45 / $185,023.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,804.00 / $72,292.14 / $242,220.90
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184,697.00 / $184,697.00 / $184,697.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.00 / $65,724.00 / $174,764.90