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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
$75.86 / $125.89 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $354.81 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $162.18
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
$102.33 / $102.33 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $81.28