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Texas 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 / $141.25 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $239.88 / $436.52
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $83.18 / $186.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $109.65 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86