go back

Missouri 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 / $4.03 / $5.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $4.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $5.71 / $8.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.91
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $9.05 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.36 / $3.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.36 / $3.97