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Virginia rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $39.53 / $78.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.22 / $55.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $70.13 / $110.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $45.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.47 / $34.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $31.96 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $33.88 / $45.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.66 / $35.57 / $56.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $56.51 / $86.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $39.97 / $50.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $39.97 / $50.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.57