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New Jersey rates for MS-DRG 242

Permanent cardiac pacemaker implant w MCC

Facilitymedian $75,858 · 10th–90th $44,668$102,3290%10%10th90th$75,858$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
$51,286.14 / $75,857.76 / $102,329.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $77,624.71 / $100,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $77,624.71 / $117,489.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $25,118.86 / $79,432.82