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Rhode Island rates for HCPCS C9093

Injection, ranibizumab, via sustained release intravitreal implant (Susvimo), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $76.80 / $81.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.59 / $84.80 / $89.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $86.40 / $86.40