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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
$3.22 / $3.22 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $4.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $6.25 / $8.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.70 / $3.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $4.03 / $4.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $4.03 / $4.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $4.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $50.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $4.03 / $4.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $7.06