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Washington rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,204.50 / $107,190.00 / $188,761.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $84,062.70 / $126,253.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,141.46 / $83,345.72 / $139,623.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,490.22 / $58,788.00 / $75,391.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,999.18 / $79,344.64 / $118,950.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $67,139.61 / $183,447.14