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Vermont rates for HCPCS J9042

Brentuximab Vedotin Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $258.64 / $444.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.80 / $292.80 / $292.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.32 / $258.32 / $258.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $281.81 / $469.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $469.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $281.81 / $469.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $469.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $274.16 / $598.57