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Vermont rates for HCPCS J1568

Octagam Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $52.80 / $83.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.80 / $53.80 / $53.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $54.40 / $90.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $54.40 / $90.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.15 / $53.23 / $97.84