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Vermont rates for HCPCS J1575

Hyqvia 100mg Immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $31.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.55 / $20.55 / $20.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $19.88 / $33.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $19.88 / $33.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $20.32 / $27.92