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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
$17,782.79 / $35,481.34 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $19,498.45 / $38,018.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $48,977.88 / $48,977.88