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Vermont rates for HCPCS J9228

Ipilimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $183.48 / $315.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.71 / $207.71 / $207.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $204.02 / $340.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $340.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $204.02 / $340.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $340.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.38 / $194.49 / $550.44