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Wyoming rates for HCPCS J0179

Inj, brolucizumab-dbll, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.19 / $346.19 / $346.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.18 / $416.68 / $416.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $326.52 / $326.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $489.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $346.11 / $346.11