go back

Vermont rates for HCPCS J2507

Pegloticase Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $6,251.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,144.34 / $4,144.34 / $4,144.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $4,036.21 / $6,727.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $4,036.21 / $6,727.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.59 / $3,660.83 / $3,919.73