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Missouri rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $45.79 / $76.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.07 / $2,335.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $45.74 / $121.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $43.03
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 / $43.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $43.80 / $67.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $34.47 / $155.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $33.88 / $40.32