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South Carolina rates for HCPCS J2779

Injection, ranibizumab, via intravitreal implant (Susvimo), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $109.65 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $104.71 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $95.50 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $83.18