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Tennessee rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $436.20 / $754.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $418.89
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.26 / $1,699.95 / $1,730.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.99 / $339.99 / $414.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $352.76