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Nebraska rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $346.19 / $765.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.19 / $817.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.87 / $372.24 / $391.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.24 / $387.91 / $391.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.39 / $432.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.24 / $346.19 / $1,699.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.99 / $346.19 / $406.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.34 / $523.58 / $683.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.49 / $415.43 / $809.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.80 / $346.11 / $380.72