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Vermont rates for HCPCS J9301

Obinutuzumab Inj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $167.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.43 / $89.43 / $89.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.65 / $77.65 / $77.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $85.15 / $141.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $141.91
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $85.15 / $141.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $141.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $83.74 / $182.52