| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $114.82 | |
Aetna
| Professional | $75.86 | $79.43 | $114.82 |
Injection, ranibizumab, via sustained release intravitreal implant (Susvimo), 0.1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $114.82 | |
Aetna
| Professional | $75.86 | $79.43 | $114.82 |