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Minnesota rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $156.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $87.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.08 / $81.43 / $120.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.74 / $78.43 / $80.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.16 / $256.68 / $312.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.04 / $94.56 / $103.16
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.66 / $234.24 / $293.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $81.23 / $110.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $125.76 / $148.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $108.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $108.94