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Ohio 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 / $8.34 / $12.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $8.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $7.86 / $21.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.96 / $5.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,702.01 / $59,702.01 / $59,702.01
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 / $5.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $5.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.65