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Illinois 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 $7 · 10th–90th $3–$100%20%10th90th$7Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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 / $6.76 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $11.75 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.89 / $199.53
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $3.63