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Vermont rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $30.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $19.07 / $19.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $18.89 / $31.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $18.89 / $31.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $18.86 / $24.29