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Ohio rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $73.52 / $4,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.47 / $2,841.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.59 / $58.10 / $96.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.69 / $57.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $34.47 / $51.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.47 / $54.21
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 / $46.94
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $33.88 / $46.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $47.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $38.96 / $47.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.19 / $33.88 / $43.57