go back

Vermont rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $594.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.82 / $391.82 / $391.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $384.89 / $641.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $384.89 / $641.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.80 / $346.11 / $532.41