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North Carolina rates for HCPCS J2779

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.59 / $81.93 / $95.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $81.93 / $94.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.07 / $128.37 / $161.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.87 / $82.87 / $82.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $96.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.93 / $93.93 / $105.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $67.20 / $67.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $102.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.99 / $104.99 / $394.65