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Oregon 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 / $100.97 / $157.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $79.72 / $105.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $113.87 / $159.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $85.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.18 / $171.87 / $211.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $112.87 / $169.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $85.29 / $102.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $80.48 / $163.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $112.87 / $169.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $93.09 / $101.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $128.78 / $295.91
Regence BlueShield
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