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Connecticut rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.95 / $540.74 / $967.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.95 / $359.95 / $359.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.39 / $526.16 / $1,037.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $359.17 / $432.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.50 / $346.11 / $384.18