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Texas rates for HCPCS J0179

Injection, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $616.60 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $912.01 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $724.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $346.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,122.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $354.81 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81