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Ranibizumab (Susvimo) Intravitreal Implant

Wisconsin rates for HCPCS J2779

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

Rates data updated July 2026.

Facilitymedian $115 · 10th–90th $78$2290%10%20%10th90th$115Professionalmedian $76 · 10th–90th $76$2000%50%90th$76$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$104.71
Typical High
$141.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$173.78
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$87.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$173.78
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$158.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$257.04
Quartz
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$234.42
Typical High
$380.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$102.33
Security Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$104.71