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Pennsylvania 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 / $5.15 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.43 / $3.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.36 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $5.15 / $8.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.43 / $6.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $4.63