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Pennsylvania rates for MS-DRG 325

Coronary intravascular lithotripsy w/o intraluminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,384.80 / $52,486.80 / $71,675.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,459.92 / $8,639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,097.42 / $50,082.24 / $71,424.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,900.97 / $52,900.97 / $64,236.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,337.03 / $88,697.97 / $112,981.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,951.40 / $51,366.40 / $70,930.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,437.64 / $46,968.15 / $66,933.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,931.57 / $44,204.00 / $73,402.59