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Ohio 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 / $171.28 / $243.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $80.00 / $178.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.24 / $137.85 / $226.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $136.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $134.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $106.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $74.47 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $128.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $74.47 / $78.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $128.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.82 / $99.67 / $114.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $85.37