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Vermont rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $61.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.25 / $40.25 / $40.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $38.47 / $64.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $38.47 / $64.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $54.69