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Vermont rates for HCPCS J3315

Triptorelin Pamoate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $527.54 / $845.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.54 / $537.54 / $537.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $533.91 / $889.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.96 / $533.91 / $889.86
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.10 / $503.33 / $880.80