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Virginia 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–$90%20%10th90th$5Professionalmedian $3 · 10th–90th $3–$40%50%90th$3$0.1$0.2$1.0$5.0

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 / $6.92 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $5.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $7.08 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $5.25
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.31 / $3.80 / $5.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.80 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $6.61 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $4.27