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Vermont rates for HCPCS J1460

Injection Gamma Globulin Intramuscular 1 Cc (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $83.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.51 / $55.51 / $55.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.26 / $55.34 / $92.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.26 / $55.34 / $92.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.58 / $49.03 / $50.99