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Connecticut rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.09 / $122.51 / $220.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.09 / $82.09 / $82.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.27 / $119.99 / $236.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.47 / $81.92 / $98.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $78.93 / $88.32