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Vermont rates for HCPCS J0702

Injection Betamethasone Acetate And Betamethasone Sodium Phosphate Per 3 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.53 / $23.53 / $23.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $7.73 / $11.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $7.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $7.75 / $12.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $7.75 / $12.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.96 / $10.06