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Vermont rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $12.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $9.99 / $16.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $9.99 / $16.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.31 / $11.25