go back

Idaho rates for HCPCS J0179

Injection, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $398.11 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $436.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $436.52 / $831.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $426.58 / $426.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81