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North Dakota rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $62.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.21 / $41.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.75 / $36.93 / $37.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $36.93 / $37.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.36 / $44.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $43.26 / $60.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $34.47 / $155.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.79