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Arizona 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
$4.30 / $8.06 / $12.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $11.99 / $19.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.22 / $21.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.66 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36