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Vermont rates for HCPCS J0130

Injection Abciximab 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.15 / $1,375.15 / $2,306.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.20 / $1,388.63 / $2,136.14