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Vermont rates for HCPCS J2358

Olanzapine Long-Acting Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.30 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.30 / $5.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.92 / $3.04