go back

Vermont rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $749.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.08 / $489.08 / $489.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $508.64 / $847.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $508.64 / $847.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.42 / $432.02 / $664.58