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Vermont rates for MS-DRG 173

Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,564.86 / $63,480.66 / $84,110.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,707.87 / $47,083.67 / $82,252.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,707.87 / $47,083.67 / $82,252.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105,480.64 / $105,480.64 / $105,480.64