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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
$75.86 / $75.86 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $120.23 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $75.86 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $269.15 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $97.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $257.04 / $302.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $125.89 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $141.25