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Vermont rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $24.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $15.45 / $25.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $15.45 / $25.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $16.05 / $24.58