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Vermont rates for HCPCS J1573

Injection Hepatitis B Immune Globulin (Hepagam B) Intravenous 0.5ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $123.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.44 / $75.44 / $75.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $73.75 / $122.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $73.75 / $122.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $74.64 / $102.51