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Utah rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,713.40 / $78,274.80 / $89,511.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,952.96 / $105,530.89 / $121,299.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $41,404.56