go back

Alaska rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.59 / $63.49 / $224.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $37.42 / $63.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $63.01 / $90.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $67.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.20 / $62.55 / $98.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $53.62 / $53.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $63.01 / $90.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $41.10 / $52.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $50.82 / $85.90