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West Virginia rates for HCPCS J2777

Injection Faricimab-Svoa 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.47 / $102.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $37.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $34.47 / $51.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.04 / $78.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.96 / $38.92 / $38.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $45.06