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Vermont rates for HCPCS J9261

Injection Nelarabine 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $79.86 / $398.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.41 / $90.41 / $90.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.53 / $71.53 / $119.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $119.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.53 / $71.53 / $119.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $119.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $84.65 / $184.51