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Ranibizumab (Susvimo) Intravitreal Implant

Montana rates for HCPCS J2779

Injection, ranibizumab, via intravitreal implant (Susvimo), 0.1 mg

Rates data updated July 2026.

Facilitymedian $87 · 10th–90th $85$1580%50%10th90th$87Professionalmedian $85 · 10th–90th $81$2240%50%10th90th$85$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$91.20
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$245.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86