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Vermont rates for HCPCS J1240

Dimenhydrinate Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.82 / $13.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $6.95 / $6.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $9.44 / $15.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $9.44 / $15.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.14 / $13.40