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Oklahoma rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $373.89 / $635.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.79 / $373.79 / $373.79
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 / $373.89 / $534.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.99 / $346.19 / $346.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.50 / $346.11 / $346.11