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Vermont rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $4,490.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.35 / $38.35 / $38.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $36.58 / $36.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $39.31 / $65.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $65.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $39.31 / $65.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $65.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $78.28