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Vermont rates for HCPCS J9203

Gemtuzumab ozogamicin 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $538.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.87 / $267.87 / $267.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.22 / $263.91 / $439.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $439.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.22 / $263.91 / $439.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $236.62 / $439.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.87 / $250.82 / $547.61