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Vermont rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $37.82 / $62.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $44.77 / $115.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $44.77 / $115.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $34.04 / $52.38