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Vermont rates for HCPCS J0360

Injection Hydralazine Hcl Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.34 / $33.34 / $33.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $8.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $6.34 / $6.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $5.28 / $8.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $5.28 / $8.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.60 / $11.56