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Wyoming 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 / $78.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $78.43 / $78.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $96.00 / $96.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.47 / $74.47 / $74.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $111.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.93 / $78.93 / $78.93