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Utah rates for HCPCS J2777

Injection, faricimab-svoa, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $2,398.83 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $50.12 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $45.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $77.62 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $36.31 / $47.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $33.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11