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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
$78.43 / $78.93 / $134.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $87.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.36 / $93.09 / $157.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $78.93 / $78.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $85.76 / $126.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $86.82 / $121.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $81.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $151.86 / $151.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93