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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
$78.43 / $78.43 / $79.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $79.22 / $87.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $118.40 / $118.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $78.93 / $81.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $151.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $96.00