go back

New Hampshire 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
$3.43 / $3.43 / $4.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.04 / $13.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.42 / $3.42
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $5.57 / $10.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.16 / $4.01