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Texas rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $555.78 / $755.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $349.57 / $484.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.54 / $894.81 / $1,785.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.95 / $362.30 / $362.30
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.26 / $1,699.95 / $1,730.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $494.94 / $509.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.64 / $346.11 / $627.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $346.11 / $499.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.07 / $346.11 / $613.39
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.89 / $338.89 / $467.25