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New Hampshire rates for HCPCS J2779

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

Facilitymedian $123 · 10th–90th $76$3020%10%10th90th$123Professionalmedian $76 · 10th–90th $76$1410%50%90th$76$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
Facility
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$151.36