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Minnesota rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $676.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $817.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.48 / $398.02 / $731.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.95 / $346.19 / $346.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.19 / $1,079.29 / $1,313.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.85 / $397.58 / $439.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.99 / $984.92 / $1,236.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.39 / $346.39 / $471.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $346.19 / $585.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.19 / $346.19 / $477.81
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 / $623.00