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New Mexico rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $539.71 / $539.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $349.56 / $817.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.33 / $1,822.91 / $3,037.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.86 / $314.86 / $408.25
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 / $346.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.57 / $346.11 / $346.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.99 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11