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Vermont rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Facilitymedian $15 · 10th–90th $13–$150%50%10th$15Professionalmedian $12 · 10th–90th $12–$210%50%10th90th$12$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.59 / $13.49