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South Carolina 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 $4 · 10th–90th $2–$130%10%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%50%10th90th$3$2.0$5.0$10.0$20.0

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
$3.02 / $12.02 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.55 / $7.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.37 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.31 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.98 / $4.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.63 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $4.27