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Vermont rates for HCPCS J1743

Injection Idursulease 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $959.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.21 / $632.21 / $632.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $614.23 / $1,023.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $614.23 / $1,023.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.55 / $558.46 / $591.97