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North Dakota rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $623.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $418.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.49 / $377.37 / $382.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.17 / $376.80 / $380.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.39 / $346.39 / $432.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.25 / $346.19 / $588.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.99 / $346.19 / $375.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $346.11 / $387.64