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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $6.05 / $10.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $11.91 / $59.06
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $5.91 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.65