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Wisconsin 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
$3.02 / $3.24 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $4.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $5.37 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.02 / $3.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.07 / $4.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.07 / $4.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $4.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.55 / $4.79