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Vermont rates for HCPCS J1305

Injection Evinacumab-Dgnb 5mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $325.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.35 / $219.35 / $219.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $210.91 / $351.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $210.91 / $351.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.98 / $193.76 / $205.39