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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
$75.86 / $75.86 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $123.03 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $147.91 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $154.88 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $100.00