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Idaho 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
$3.43 / $3.43 / $3.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.43 / $3.47
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.68 / $4.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.00 / $5.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $4.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36