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Maine rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.59 / $78.59 / $84.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.22 / $49.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.13 / $37.65 / $107.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.59 / $78.59 / $84.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.24 / $49.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $49.13