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Vermont rates for HCPCS J3280

Injection Thiethylperazine Maleate Up To 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $10.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.76 / $7.32