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Virginia rates for MS-DRG 325

Coronary intravascular lithotripsy w/o intraluminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,740.00 / $49,398.40 / $62,943.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,157.01 / $46,724.16 / $70,798.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,741.00 / $45,421.14 / $68,317.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $64,281.84 / $85,553.95