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South Carolina rates for MS-DRG 325

Coronary Intravascular Lithotripsy Without Intraluminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,698.00 / $51,806.00 / $55,957.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,861.68 / $39,971.69 / $64,859.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,255.44 / $65,572.42 / $96,825.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,895.01 / $83,598.82 / $107,940.07