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Coronary Lithotripsy with Intraluminal Device (with MCC)

Maine rates for MS-DRG 323

Coronary Intravascular Lithotripsy with Intraluminal Device with MCC

Rates data updated October 2026.

How much rates vary

Facilitymedian $107,152 · 10th to 90th $66,069 to $128,825
$100Kfacility $107,152

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$128,824.96
Typical High
$128,824.96
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$107,151.93