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Vermont rates for HCPCS J9039

Injection Blinatumomab 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $310.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.95 / $185.95 / $185.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.96 / $172.39 / $287.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $287.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.96 / $172.39 / $287.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $287.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.10 / $174.11 / $379.48