go back

Louisiana rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $356.58 / $765.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.19 / $418.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.01 / $307.42 / $361.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.51 / $361.51 / $368.74
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $415.01