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Vermont rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $24.18 / $47.31