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Indiana rates for MS-DRG 325

Coronary intravascular lithotripsy w/o intraluminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $61,659.50 / $70,794.58
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $37,153.52 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $44,668.36 / $109,647.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $46,773.51 / $66,069.34