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Vermont rates for HCPCS J1640

Panhematin IV SOLR 350 MG

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $58.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $38.70 / $38.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $37.44 / $62.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $37.44 / $62.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $34.18 / $36.22