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Rhode Island rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.11 / $110.11 / $110.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.22 / $2,260.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.47 / $34.47 / $39.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
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 / $33.88