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Alaska rates for MS-DRG 325

Coronary intravascular lithotripsy w/o intraluminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,172.50 / $84,507.40 / $171,696.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129,173.65 / $129,173.65 / $137,244.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,684.00 / $5,684.00 / $5,684.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $49,921.72 / $70,210.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $44,504.10 / $137,244.60