go back

New Hampshire rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $41.38 / $42.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.47 / $2,268.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.50 / $60.98 / $148.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $34.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $33.88 / $33.88
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 / $56.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $34.90