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Vermont rates for MS-DRG 176

Complicated Peptic Ulcer

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,077.99 / $17,169.04 / $22,748.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,657.59 / $12,734.30 / $22,246.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,657.59 / $12,734.30 / $22,246.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,528.40 / $28,528.40 / $28,528.40