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Vermont rates for HCPCS J1628

Injection Guselkumab 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $84.40 / $128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.01 / $86.01 / $86.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $79.73 / $132.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $79.73 / $132.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $75.97 / $106.13