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Vermont rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $849.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.99 / $560.99 / $560.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $548.38 / $913.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $548.38 / $913.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.77 / $495.55 / $515.37