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Vermont rates for HCPCS J0897

Injection, denosumab, 1 mg

Facilitymedian $33 · 10th–90th $33–$330%50%$33Professionalmedian $30 · 10th–90th $29–$500%50%10th90th$30$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $39.81