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South Carolina rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.41 / $363.41 / $1,469.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.86 / $346.11 / $363.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.13 / $407.38 / $660.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $416.68 / $477.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $346.11 / $346.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.41 / $408.51 / $844.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.88 / $545.88 / $545.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $744.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11