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Illinois rates for MS-DRG 259

Cardiac Pacemaker Device Replacement Without Mcc

Facilitymedian $23,988 · 10th–90th $12,023$35,4810%10%10th90th$23,988$100.0$500.0$2.0K$10.0K$50.0K

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
$17,378.01 / $26,302.68 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $22,908.68 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $22,908.68 / $40,738.03
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $257.04 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $23,442.29 / $36,307.81