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Nebraska 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 / $125.89 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $83.18 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $147.91 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $87.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $79.43 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $75.86 / $95.50