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Vermont rates for HCPCS J2543

Injection Piperacillin Sodium/Tazobactam Sodium 1 Gram/0.125 Grams (1.125 Grams) (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $11.99 / $50.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.18 / $1.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.27 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.27 / $1.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.07 / $1.65