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Michigan rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.49 / $356.58 / $1,112.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $356.49 / $418.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.85 / $770.74 / $1,458.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $352.63 / $352.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.16 / $346.11 / $346.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $445.73 / $992.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $356.49 / $415.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.98 / $398.02 / $398.11
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 / $415.33