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Vermont rates for HCPCS J1265

DOPamine HCl IV SOLN 40 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.80 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.80 / $1.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.83 / $1.28