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Vermont rates for HCPCS J9153

Injection Liposomal 1 Mg Daunorubicin And 2.27 Mg Cytarabine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $518.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.91 / $289.91 / $289.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.59 / $281.91 / $469.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $469.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.59 / $281.91 / $469.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $469.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.32 / $271.45 / $591.66