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New York 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 / $3.22 / $4.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.33 / $3.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.36 / $3.36
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $2.81 / $3.09
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $2.81 / $2.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.04 / $3.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $5.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.94
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.56 / $3.56
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.56 / $3.56
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $4.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.36 / $4.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.56