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Virginia rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $89.93 / $178.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $82.88 / $87.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $166.54 / $268.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $125.28 / $189.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $74.47 / $78.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $94.72 / $96.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $78.93 / $126.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.98 / $78.93 / $101.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $78.93 / $101.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.01 / $303.01 / $303.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $78.93 / $96.00