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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
$75.86 / $83.18 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $89.13 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $79.43