go back

Oklahoma rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $36.59 / $63.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.59 / $47.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.68 / $54.74 / $69.15
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 / $33.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.82 / $39.10 / $54.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.47 / $53.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31