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Arizona rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.34 / $692.22 / $1,038.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $380.81 / $817.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.20 / $1,188.89 / $1,937.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.26 / $329.11 / $2,201.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $346.11 / $346.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.67 / $452.26 / $544.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.19 / $346.19 / $346.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11