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Vermont rates for HCPCS J9025

azaCITIDine IJ SUSR 100 MG

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.56 / $2.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.56 / $0.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.56 / $0.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.60 / $1.71