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Vermont rates for HCPCS J9020

Injection Asparaginase Not Otherwise Specified 10 000 Units (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $62.13 / $62.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.36 / $84.30 / $127.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $70.36 / $127.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $77.48 / $168.87