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Vermont rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $136.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.73 / $89.73 / $89.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $87.11 / $145.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $87.11 / $145.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $79.26 / $121.93