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Virginia rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $396.94 / $789.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $349.57 / $363.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $730.29 / $1,176.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.10 / $515.59 / $778.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $326.52 / $346.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $415.01 / $415.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $553.47
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.80 / $346.11 / $443.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.80 / $346.11 / $443.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.99 / $339.99 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $346.11 / $415.01