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Pennsylvania rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $80.68 / $104.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $35.07 / $4,229.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $36.75 / $55.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $35.15 / $35.15
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 / $35.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $45.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.82 / $68.62 / $104.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.96 / $4,229.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $48.70 / $85.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $33.88 / $33.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $37.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $44.21