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Vermont rates for HCPCS J7100

Infusion Dextran 40 500 Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $113.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.79 / $89.79 / $114.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.89 / $67.89 / $67.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $66.56 / $69.22