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Missouri 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 / $95.50 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $81.28 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $107.15 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $107.15 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $75.86 / $93.33