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Illinois rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $519.29 / $903.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $419.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.10 / $1,436.45 / $6,930.07
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $415.33 / $708.22
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.94 / $449.94 / $449.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $778.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $367.22