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Missouri rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $408.51 / $428.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $353.03 / $419.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $588.39 / $1,243.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $432.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $326.52 / $346.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $391.53 / $1,699.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.26 / $346.19 / $398.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.99 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $346.11 / $400.45