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Arizona rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $60.26 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $36.31 / $4,265.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $53.70 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $38.90 / $67.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $34.67 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $34.67