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Washington, DC 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 / $221.17 / $298.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $125.28 / $211.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $74.47 / $78.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $67.09 / $78.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.83 / $78.93 / $127.93