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Vermont rates for MS-DRG 323

Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,800.09 / $92,294.79 / $122,288.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,915.82 / $68,455.14 / $119,587.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,915.82 / $68,455.14 / $119,587.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153,358.73 / $153,358.73 / $153,358.73