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Vermont rates for HCPCS J1562

Injection Immune Globulin Intravenous 5 Grams

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $20.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $16.13 / $22.15