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Vermont rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,815.23 / $16,672.09 / $22,090.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,378.04 / $12,365.71 / $21,602.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,378.04 / $12,365.71 / $21,602.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,702.67 / $27,702.67 / $27,702.67