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Vermont rates for MS-DRG 187

Dental Extractions & Restorations

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,154.08 / $21,095.52 / $27,950.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,866.23 / $15,646.57 / $27,333.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,866.23 / $15,646.57 / $27,333.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,052.71 / $35,052.71 / $35,052.71