go back

Hawaii rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $37.64 / $4,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $43.51
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $51.47 / $51.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $40.65 / $50.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $50.82
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.25 / $42.65 / $48.59