go back

Virginia rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $72,443.60 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $66,069.34 / $100,000.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $69,183.10 / $95,499.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $85,113.80 / $125,892.54