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North Dakota 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 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $81.28 / $131.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $85.11