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Nebraska rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $34.47 / $74.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.54 / $4,331.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.60 / $38.35 / $38.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.43 / $38.35 / $39.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $41.67 / $53.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $51.72 / $68.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $34.47 / $51.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.18 / $41.67 / $75.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.18 / $41.67 / $75.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.70 / $48.70 / $48.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $33.88 / $45.06