go back

Tennessee 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 / $100.00 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $81.28