| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.80 | $76.80 | $76.80 | |
Aetna
| Professional | $76.80 | $76.80 | $79.68 | |
CareSource
| Facility | $41,999.58 | $55,999.44 | $69,999.30 |
Injection, ranibizumab, via sustained release intravitreal implant (Susvimo), 0.1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.80 | $76.80 | $76.80 | |
Aetna
| Professional | $76.80 | $76.80 | $79.68 | |
CareSource
| Facility | $41,999.58 | $55,999.44 | $69,999.30 |