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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
$33.88 / $34.47 / $57.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.22 / $2,283.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $39.95 / $67.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $37.27 / $54.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.57 / $49.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $38.92 / $38.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $34.72 / $45.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.25