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Illinois rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $118.40 / $204.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.93 / $95.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.87 / $354.30 / $1,755.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $94.72 / $147.33
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.61 / $102.61 / $102.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $83.74