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Idaho rates for MS-DRG 325

Coronary intravascular lithotripsy w/o intraluminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,251.50 / $28,251.50 / $28,251.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,027.44 / $112,412.16 / $117,436.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,971.60 / $53,134.28 / $65,917.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,810.29 / $41,735.19 / $60,410.10