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Vermont rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.25 / $113.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.37 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $5.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.37 / $5.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.96 / $11.41