go back

Alaska rates for HCPCS J3031

Injection, fremanezumab-vfrm, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.44 / $19.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $5.44 / $5.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.78 / $7.78 / $7.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $5.47 / $8.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $7.78 / $12.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.04 / $6.78