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Vermont rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $262.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.76 / $245.76 / $245.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $243.12 / $395.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $395.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $243.12 / $395.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $395.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.10 / $230.12 / $501.56