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Louisiana 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
$4.03 / $4.03 / $5.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.43 / $3.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.70
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.36 / $4.05