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Vermont rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $892.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.17 / $576.17 / $576.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $563.42 / $939.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $563.42 / $939.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $529.32