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Vermont rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $75,857.76 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $42,657.95 / $83,176.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,712.85 / $104,712.85 / $104,712.85