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Kansas rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.12 / $408.51 / $1,523.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $353.03 / $484.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.62 / $397.46 / $418.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.34 / $366.34 / $366.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $326.52 / $346.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $384.95 / $484.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.99 / $346.19 / $382.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.99 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $415.01