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Vermont rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $222.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.58 / $146.58 / $146.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $146.61 / $244.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $146.61 / $244.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.01 / $129.47 / $137.25