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Vermont rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $34,673.69 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $19,498.45 / $38,018.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $47,863.01 / $47,863.01