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Georgia 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)

Facilitymedian $4 · 10th–90th $3–$180%20%10th90th$4Professionalmedian $3 · 10th–90th $3–$40%20%40%90th$3$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.31 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $17.78 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.07 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $7.08 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.94 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $4.47