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West 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
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $75.86 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $338.84 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $75.86 / $95.50