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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)

Facilitymedian $5 · 10th–90th $3–$100%20%10th90th$5Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3.47 / $5.25 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.55 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $12.59 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $5.37 / $5.37
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.90