go back

South Carolina rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.00 / $19,510.00 / $75,426.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,636.11 / $51,808.55 / $115,799.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,349.18 / $88,387.15 / $130,514.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,895.26 / $112,685.50 / $145,495.84