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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
$96.00 / $96.00 / $174.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $87.69 / $96.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $86.73 / $101.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $89.72 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $96.00 / $167.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $104.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.12 / $129.54 / $172.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.72 / $95.68 / $167.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $80.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $78.43 / $78.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $78.43