go back

Vermont rates for HCPCS J2323

Tysabri IV CONC 300 MG/15ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $26.66 / $41.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $27.17 / $27.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $27.59 / $45.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $27.59 / $45.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $24.00 / $30.19