go back

Washington 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 / $3.43 / $8.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.43 / $3.43
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.79 / $5.39
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.42 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $3.43 / $6.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $3.22 / $4.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.52 / $3.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.76 / $5.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36