go back

Texas 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
$75.86 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $81.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $77.62 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $81.28