go back

Illinois rates for HCPCS C9093

Injection, ranibizumab, via sustained release intravitreal implant (Susvimo), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $76.80 / $76.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $76.80 / $81.59