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Washington rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.37 / $443.02 / $720.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $349.66 / $418.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.23 / $496.85 / $960.57
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $358.07 / $416.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $326.52 / $679.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $424.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $432.64 / $720.08
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.72 / $520.38 / $910.67
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.50 / $367.67 / $400.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.23 / $397.48 / $790.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11