| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.59 | $81.59 | $97.92 | |
Aetna
| Professional | $81.59 | $81.59 | $81.59 | |
Well Sense
| Professional | $81.59 | $2,500.00 | $3,500.00 |
Injection, ranibizumab, via sustained release intravitreal implant (Susvimo), 0.1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.59 | $81.59 | $97.92 | |
Aetna
| Professional | $81.59 | $81.59 | $81.59 | |
Well Sense
| Professional | $81.59 | $2,500.00 | $3,500.00 |