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Vermont rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $158.91 / $280.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $158.91 / $280.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.97 / $158.91 / $229.39