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Minnesota rates for HCPCS J0179

Injection, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $512.86 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $338.84 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,148.15 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $426.58 / $457.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,258.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $645.65