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New York rates for MS-DRG 242

Permanent cardiac pacemaker implant w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,866.80 / $55,628.20 / $95,640.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,840.83 / $96,963.71 / $124,639.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,455.26 / $79,298.87 / $116,406.30
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,259.62 / $75,305.38 / $154,640.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,072.39 / $30,072.39 / $30,982.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,455.26 / $86,337.46 / $117,048.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $71,145.16 / $109,771.66