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Kentucky rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $33.11 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $37.15 / $4,265.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $38.90 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $35.48 / $52.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.48 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $34.67