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Vermont rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $5,198.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,750.82 / $2,750.82 / $2,750.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,763.95 / $4,606.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,606.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,763.95 / $4,606.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,606.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,575.67 / $5,614.02