go back

Rhode Island rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.52 / $256.52 / $256.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $82.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.43 / $78.43 / $82.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $78.93 / $78.93
Cigna
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