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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
$36.25 / $67.76 / $101.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.57 / $4,229.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.36 / $76.98 / $161.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.53 / $33.38 / $36.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $39.49 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $34.47 / $66.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88