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Vermont rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,793.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.19 / $1,183.19 / $1,183.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $1,181.36 / $1,968.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $1,181.36 / $1,968.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.89 / $1,045.15 / $1,607.76