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Vermont rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.76 / $23.76 / $23.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $23.10 / $38.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $23.10 / $38.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $20.99 / $21.83