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Vermont rates for HCPCS J0517

Inj., benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $182.85 / $288.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.33 / $186.33 / $186.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $184.87 / $308.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $184.87 / $308.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.36 / $164.59 / $253.19