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Vermont rates for HCPCS J9320

Streptozocin 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.80 / $1,326.00 / $1,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.46 / $1,326.00 / $1,326.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.01 / $1,326.00 / $1,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,378.00 / $3,008.59