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Arkansas rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.19 / $94.72 / $94.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $87.69 / $94.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.09 / $85.09 / $85.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.75 / $85.09 / $85.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $78.93 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $81.59