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Indiana rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $82.20 / $238.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.22 / $2,260.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $67.76 / $81.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $34.47 / $50.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $42.35
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 / $39.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $40.54