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North Carolina rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.86 / $363.75 / $602.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.86 / $346.11 / $419.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.26 / $668.87 / $711.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.79 / $365.79 / $365.79
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 / $416.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.86 / $411.87 / $449.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.94 / $294.94 / $294.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.35 / $560.98 / $571.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $449.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.39 / $471.36 / $1,730.55