J0179
CPT/HCPCSInjection, brolucizumab-dbll, 1 mg
Physician Fee Schedule
Facility
Medicare Payment
$246.13
Submitted Charge$424.36
Medicare Allowed$311.32
Providers2
Beneficiaries16
Total Services342
Office
Medicare Payment
$245.20
Submitted Charge$574.84
Medicare Allowed$308.95
Providers585
Beneficiaries2,639
Total Services66,446