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Louisiana rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.20 / $76.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.22 / $4,229.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.19 / $38.19 / $57.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $38.19 / $38.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.16 / $1,658.16 / $1,658.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $33.88 / $38.29