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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
$78.93 / $78.93 / $141.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $94.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.64 / $86.07 / $87.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.79 / $85.94 / $86.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $81.23 / $101.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $81.43 / $133.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $86.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $78.93 / $85.72