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Iowa 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 / $95.50 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $97.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $112.20 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $95.50 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $120.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $104.71 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $79.43
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43