Brolucizumab injection, per 1 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Fac Beovu per 1 Mg

Payers reporting HCPCS J0179

Payer pricing summary

Low

$185

Average

$3.8k

Median

$567

High

$39.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	546	$494	$522	$266	51%	—	$1 – $2.1k
2	Aetna fee schedule · outpatient · +17 other terms	366	$363	$559	$317	57%	—	$1 – $4.0k
3	Cigna fee schedule · outpatient · +14 other terms	328	$494	$823	$709	86%	—	$278 – $5.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	307	$526	$744	$497	67%	—	$1 – $2.5k
5	Humana fee schedule · outpatient · +16 other terms	304	$340	$374	$169	45%	—	$1 – $1.4k
6	Molina fee schedule · outpatient · +16 other terms	128	$514	$516	$305	59%	—	$1 – $3.3k
7	WellCare fee schedule · outpatient · +8 other terms	115	$346	$388	$121	31%	—	$318 – $794
8	Anthem fee schedule · outpatient · +16 other terms	107	$475	$603	$433	72%	—	$302 – $2.6k
9	Caresource fee schedule · outpatient · +7 other terms	70	$396	$399	$104	26%	—	$1 – $675
10	Devoted fee schedule · outpatient · +3 other terms	66	$346	$345	$17	5%	—	$315 – $376
11	Kaiser fee schedule · outpatient · +9 other terms	56	$530	$639	$426	67%	—	$282 – $2.5k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	51	$609	$655	$150	23%	—	$339 – $864
13	Optum fee schedule · outpatient · +12 other terms	33	$339	$446	$198	44%	—	$307 – $1.0k
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$1.3k	$1.2k	$563	45%	—	$318 – $2.4k
15	Oscar facility · fee schedule · outpatient · +9 other terms	25	$448	$490	$90	18%	—	$353 – $640
16	Clover fee schedule · outpatient · +3 other terms	24	$370	$363	$23	6%	—	$328 – $399
17	Aetna Better Health fee schedule · outpatient · +4 other terms	22	$346	$355	$18	5%	—	$335 – $382
18	Medical Mutual facility · fee schedule · outpatient · +4 other terms	21	$646	$729	$340	47%	—	$192 – $1.5k
19	Regence facility · fee schedule · outpatient · +8 other terms	21	$367	$409	$128	31%	—	$294 – $780
20	Healthpartners fee schedule · outpatient · +4 other terms	19	$405	$403	$12	3%	—	$360 – $414
21	Medicare fee schedule · outpatient · +4 other terms	19	$339	$339	$8	2%	—	$305 – $346
22	Highmark fee schedule · outpatient · +5 other terms	16	$466	$487	$239	49%	—	$189 – $3.3k
23	MultiPlan fee schedule · outpatient · +9 other terms	15	$548	$541	$37	7%	—	$346 – $548
24	Wellmark fee schedule · both · +4 other terms	14	$340	$340	$1	0%	—	$340 – $346
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$319	$323	$82	25%	—	$160 – $385

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