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Idaho 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 / $83.18 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $120.23 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $91.20 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $95.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $120.23 / $208.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $95.50
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86