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Vermont rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $7.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $4.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.93 / $8.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $8.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.93 / $8.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $8.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $10.30