go back

Alaska rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,541.60 / $113,910.00 / $231,435.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174,117.27 / $174,117.27 / $184,996.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,684.00 / $5,684.00 / $5,684.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $67,291.07 / $104,486.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $66,230.56 / $184,996.35