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Oklahoma rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $84.71 / $144.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.25 / $85.25 / $87.69
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 / $78.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $88.95 / $398.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $79.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93