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West Virginia rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $346.19 / $349.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $349.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $519.16 / $519.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $346.11 / $347.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $624.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.11 / $346.11 / $571.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.97 / $346.11 / $415.01