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Vermont rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $40.08 / $40.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.63 / $7.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $8.64 / $8.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $9.69 / $16.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $16.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $9.69 / $16.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $16.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $17.63