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Arkansas rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.12 / $415.33 / $420.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $415.33 / $415.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.59 / $375.59 / $375.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.82 / $375.59 / $375.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.14 / $346.11 / $346.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $352.76