go back

California rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $156.86 / $177.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $79.72 / $134.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.93 / $126.07 / $282.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.93 / $221.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.50 / $85.60 / $111.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $192.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $74.47 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $94.72 / $173.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.99 / $394.65 / $398.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $78.93 / $112.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $170.73
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.15 / $86.27 / $133.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $177.91