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Nebraska 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 $6 · 10th–90th $3–$90%20%10th90th$6Professionalmedian $3 · 10th–90th $3–$50%20%40%10th90th$3$5.0$10.0$20.0$50.0

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 / $6.46 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.31 / $3.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $6.17 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $4.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.61 / $10.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.55 / $4.27