go back

Oregon rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $45.35 / $67.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $2,075.40 / $4,536.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $49.88 / $69.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $77.61 / $100.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $35.57 / $75.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $37.27 / $44.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $34.47 / $70.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $42.69 / $73.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.06 / $47.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.06 / $57.09 / $132.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $38.96