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Iowa 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 $3 · 10th–90th $3–$40%50%90th$3Professionalmedian $3 · 10th–90th $3–$40%20%40%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.24 / $4.07 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.31 / $3.31
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.03 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $4.07 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $3.72
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39