| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.72 | $78.72 | $78.72 | |
Aetna
| Professional | $78.72 | $78.72 | $81.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Injection, ranibizumab, via sustained release intravitreal implant (Susvimo), 0.1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.72 | $78.72 | $78.72 | |
Aetna
| Professional | $78.72 | $78.72 | $81.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |