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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
$83.18 / $117.49 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $446.68 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $151.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $79.43