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Georgia rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $78.93 / $115.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $94.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $128.50 / $289.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $154.69
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
$88.51 / $275.00 / $426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $88.26