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Maryland rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $346.19 / $346.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $443.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $440.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $373.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $560.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.89 / $338.89 / $338.89