go back

Virginia rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.39 / $2.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.29 / $1.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.60 / $4.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.72 / $2.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.32 / $1.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.19 / $1.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.19 / $1.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.32