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Vermont rates for HCPCS J9270

Plicamycin 2.5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.93 / $83.93 / $83.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.05 / $87.05 / $104.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $87.05 / $104.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.80 / $104.66 / $228.13