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Vermont rates for HCPCS J2779

Injection Ranibizumab Via Intravitreal Implant (Susvimo) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $87.69 / $134.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.36 / $89.36 / $89.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $90.27 / $150.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $90.27 / $150.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.98 / $78.93 / $82.09