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Texas rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $25,883.00 / $81,832.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,476.95 / $45,476.95 / $45,476.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.00 / $2,284.00 / $62,112.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,782.90 / $64,322.00 / $114,070.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,210.94 / $54,092.50 / $124,763.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $48,466.88 / $110,357.35