go back

Vermont rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $128.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.15 / $73.15 / $73.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $74.67 / $124.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.96 / $74.67 / $124.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.39 / $64.62 / $99.41