go back

New Mexico 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 / $122.27 / $122.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $87.69 / $100.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.17 / $444.31 / $723.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.93 / $81.93 / $92.49
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 / $78.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $79.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93