| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.00 | $96.00 | $96.00 | |
Aetna
| Professional | $76.80 | $76.80 | $96.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |
Injection, ranibizumab, via sustained release intravitreal implant (Susvimo), 0.1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.00 | $96.00 | $96.00 | |
Aetna
| Professional | $76.80 | $76.80 | $96.00 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 |