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Maine rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.98 / $802.98 / $865.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $359.95 / $418.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.93 / $420.42 / $1,096.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $419.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.98 / $802.98 / $865.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $359.95 / $865.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $519.16