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Hawaii rates for HCPCS J2779

Injection, ranibizumab, via intravitreal implant (Susvimo), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.74 / $161.74 / $161.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.70 / $79.70 / $79.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.47 / $117.47 / $117.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $94.72 / $110.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $96.55 / $118.40
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $97.74 / $105.87