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Washington, DC rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $976.26 / $1,315.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $515.59 / $871.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $326.52 / $346.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $294.19 / $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
$314.95 / $346.11 / $560.97