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Vermont rates for MS-DRG 825

Lymphoma and non-acute leukemia with other procedures without CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,217.18 / $28,780.00 / $38,132.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,188.75 / $21,346.16 / $37,290.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,188.75 / $21,346.16 / $37,290.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,821.39 / $47,821.39 / $47,821.39