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Pennsylvania rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,608.69 / $70,748.70 / $97,682.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,459.92 / $8,639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,873.40 / $65,512.51 / $96,276.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,306.89 / $71,306.89 / $86,586.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,169.54 / $81,360.53 / $137,785.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,024.50 / $68,709.00 / $96,613.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,636.14 / $59,751.00 / $90,221.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,126.74 / $59,583.97 / $98,941.67