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Kansas rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $96.00 / $345.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $80.51 / $110.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.49 / $97.64 / $102.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.62 / $81.62 / $81.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $74.47 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $96.00 / $119.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $96.00