go back

Idaho rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $346.19 / $398.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $380.72 / $432.63
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.72 / $458.59 / $618.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $432.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.99 / $339.99 / $339.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.34 / $479.93 / $828.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.03 / $415.33 / $415.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11