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Idaho rates for MS-DRG 324

Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,728.80 / $27,728.80 / $27,728.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,454.24 / $110,332.27 / $115,263.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,991.50 / $52,093.90 / $64,697.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,203.22 / $40,963.00 / $59,292.37