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Utah rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.48 / $401.48 / $401.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.48 / $401.48 / $401.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.44 / $475.59 / $514.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.59 / $688.96 / $960.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11