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Alaska rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $61.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $40.74 / $81.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $64.57 / $100.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $54.95 / $54.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $45.71 / $72.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $48.98 / $83.18