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Coronary Lithotripsy with Intraluminal Device (with MCC)

Alaska rates for MS-DRG 323

Coronary Intravascular Lithotripsy with Intraluminal Device with MCC

Rates data updated July 2026.

Facilitymedian $104,713 · 10th–90th $56,234$186,2090%20%10th90th$104,713$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$81,283.05
Typical High
$245,470.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173,780.08
Median
$173,780.08
Typical High
$186,208.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$104,712.85
Typical High
$104,712.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$173,780.08
Median
$173,780.08
Typical High
$186,208.71
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13