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Massachusetts 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 / $120.23 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $117.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $190.55 / $251.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $151.36
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $125.89 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $138.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $190.55 / $251.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $131.83 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $107.15