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Vermont rates for HCPCS J9317

Injection Sacituzumab Govitecan-Hziy 2.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $43.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.07 / $41.07 / $41.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $40.53 / $67.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $67.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $40.53 / $67.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $67.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.46 / $83.82