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Vermont rates for HCPCS J9050

Carmustine 100 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.10 / $238.46 / $5,282.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.95 / $269.95 / $269.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.83 / $164.83 / $274.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $274.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.83 / $164.83 / $274.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.40 / $238.46 / $274.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $267.08 / $2,016.27