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Vermont rates for MS-DRG 804

Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,291.61 / $28,920.77 / $38,319.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,267.93 / $21,450.56 / $37,473.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,267.93 / $21,450.56 / $37,473.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,055.28 / $48,055.28 / $48,055.28