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Vermont rates for HCPCS J9205

Injection Irinotecan Liposome 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $112.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $74.72 / $74.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $73.90 / $123.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $123.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $73.90 / $123.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $123.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $152.49