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Vermont rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $102.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.74 / $95.74 / $95.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $133.16 / $221.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $221.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $133.16 / $221.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $221.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.82 / $89.64 / $195.72