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Vermont rates for HCPCS J9040

Bleomycin Sulfate 15 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $35.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $24.37 / $85.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $24.40 / $40.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $40.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $24.40 / $40.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $40.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.82 / $64.59