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Hawaii rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.58 / $627.58 / $627.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $349.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.78 / $494.78 / $494.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.72 / $415.33 / $484.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $406.67 / $519.16
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.48 / $393.54 / $437.17