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Vermont rates for HCPCS Q9991

Injection Buprenorphine Extended-Release (Sublocade) Less Than Or Equal To 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,240.23 / $3,395.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,179.51 / $3,632.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $2,179.51 / $3,632.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.60 / $2,016.42 / $2,159.69