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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
$78.43 / $98.82 / $170.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $94.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.99 / $394.65 / $398.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $81.59