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Vermont rates for HCPCS J0278

Amikacin Sulfate Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.68 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.68 / $1.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.63 / $0.97