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Vermont rates for HCPCS J9306

Perjeta IV SOLN 420 MG/14ML

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $17.02 / $29.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $19.26 / $19.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $16.80 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $18.37 / $30.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $30.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $18.37 / $30.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $30.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $18.04 / $39.32