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Illinois rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,333.00 / $46,978.30 / $72,384.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,549.16 / $47,882.58 / $71,741.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,636.51 / $47,601.40 / $86,548.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.64 / $500.25 / $861.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,150.36 / $52,798.61 / $86,894.19