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Idaho rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $45.71 / $4,265.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $52.48 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $34.67 / $45.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $34.67 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $52.48 / $95.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $39.81 / $39.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11