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Vermont rates for HCPCS J1322

Elosulfase Alfa, Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $527.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.45 / $349.45 / $349.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $332.76 / $554.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $332.76 / $554.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.25 / $308.68 / $321.02