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Kentucky 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 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $89.13 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $125.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $83.18 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86