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Arkansas rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $40.65 / $4,508.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.57 / $2,165.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $37.40 / $37.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.03 / $37.40 / $37.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $44.82 / $51.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $78.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $33.88 / $38.29