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Vermont rates for HCPCS J0490

Belimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $62.29 / $96.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $63.47 / $63.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $62.23 / $103.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $62.23 / $103.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $56.07 / $86.25