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Washington rates for HCPCS J2779

Injection, ranibizumab, via intravitreal implant (Susvimo), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $131.83 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $79.43 / $117.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $93.33 / $223.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $83.18 / $91.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $95.50 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $100.00