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Arizona rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.46 / $157.86 / $236.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.27 / $87.69 / $103.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.74 / $202.85 / $393.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.20 / $75.92 / $502.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $103.52 / $123.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $78.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93