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Vermont rates for HCPCS J1566

Injection Immune Globulin Intravenous Lyophilized (E.G. Powder) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $87.53 / $140.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.20 / $89.20 / $89.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $91.71 / $152.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $91.71 / $152.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $88.26 / $121.22