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Vermont rates for HCPCS J2506

Injection Pegfilgrastim Excludes Biosimilar 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $99.26 / $100.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.14 / $101.14 / $101.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $37.70 / $84.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $37.70 / $84.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $89.34 / $89.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.34 / $94.70 / $137.43