North Dakota · J2777

Injection, Faricimab-Svoa, 0.1 Mg in North Dakota

North Dakota Medicare Avg
$27.99
3% below national avg
National Medicare Avg
$28.89
All states combined
Billed Charge (ND)
$50.17
What providers submit
Est. Commercial (ND)
$70.30
National avg: $81.34
Est. Cash / Self-Pay (ND)
$40.16
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

152.9K
Services in ND
16
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in North Dakota

Provider Medicare Services
Gilca, Marina MD $27.65 78.1K

North Dakota Pricing in Context

In North Dakota, CPT code J2777 (Injection, Faricimab-Svoa, 0.1 Mg) carries an average Medicare payment of $27.99 — 3% below the national benchmark of $28.89. 16 providers across the state submitted claims for this procedure in 2023, performing 152.9K total services. Individual payments in ND ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in North Dakota is $50.17, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because North Dakota sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Drugs (Administered) procedures, the estimated commercial insurance price in North Dakota lands near $70.30, with self-pay cash prices typically around $40.16. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Injection, Faricimab-Svoa, 0.1 Mg cost in North Dakota?

The average Medicare payment for Injection, Faricimab-Svoa, 0.1 Mg in North Dakota is $27.99, which is 3% below the national average of $28.89. Providers in ND typically bill $50.17 for this procedure.

What does Injection, Faricimab-Svoa, 0.1 Mg cost with insurance in North Dakota?

With commercial insurance in North Dakota, Injection, Faricimab-Svoa, 0.1 Mg costs an estimated $70.30. Without insurance, the estimated cash price is $40.16. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Injection, Faricimab-Svoa, 0.1 Mg in North Dakota?

16 providers in North Dakota billed Medicare for Injection, Faricimab-Svoa, 0.1 Mg in 2023, performing 152.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Injection, Faricimab-Svoa, 0.1 Mg cheaper in North Dakota than the national average?

Yes — Injection, Faricimab-Svoa, 0.1 Mg costs 3% below the national average in North Dakota. The state average Medicare payment is $27.99 compared to $28.89 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial