go back

Vermont rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,490.09 / $29,296.14 / $38,816.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,479.08 / $21,728.98 / $37,959.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,479.08 / $21,728.98 / $37,959.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,679.01 / $48,679.01 / $48,679.01