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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
$39.29 / $39.29 / $3,482.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $2,071.80 / $4,229.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.23 / $49.57 / $53.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.35 / $46.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.41 / $72.43 / $100.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.27 / $45.93 / $48.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88