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Vermont rates for HCPCS J7170

Injection Emicizumab-Kxwh 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $98.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.51 / $63.51 / $63.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $58.85 / $98.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.93 / $58.85 / $98.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $86.30