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New Hampshire 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
$81.59 / $81.59 / $97.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $2,500.00 / $3,500.00