Ranibizumab eye implant injection (Susvimo)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, susvimo 0.1 mg

Payers reporting HCPCS J2779

Payer pricing summary

Low

$40

Average

$9.7k

Median

$197

High

$103.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	547	$114	$165	$511	310%	—	$1 – $6.5k
2	Aetna fee schedule · outpatient · +18 other terms	367	$83	$160	$478	299%	—	$1 – $6.5k
3	Cigna fee schedule · outpatient · +14 other terms	327	$114	$182	$150	83%	—	$2 – $671
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	306	$125	$185	$130	70%	—	$1 – $637
5	Humana fee schedule · outpatient · +17 other terms	306	$78	$156	$692	443%	—	$1 – $6.8k
6	Molina fee schedule · outpatient · +17 other terms	128	$89	$664	$2.4k	356%	—	$1 – $17.0k
7	WellCare fee schedule · outpatient · +8 other terms	116	$79	$444	$1.4k	311%	—	$74 – $6.3k
8	Anthem fee schedule · outpatient · +16 other terms	107	$108	$220	$738	335%	—	$73 – $6.5k
9	Caresource fee schedule · outpatient · +7 other terms	70	$90	$94	$25	27%	—	$1 – $154
10	Devoted fee schedule · outpatient · +4 other terms	66	$80	$80	$5	6%	—	$72 – $89
11	Kaiser fee schedule · outpatient · +6 other terms	57	$114	$144	$105	73%	—	$61 – $644
12	Ambetter facility · fee schedule · outpatient · +7 other terms	51	$137	$150	$37	25%	—	$79 – $205
13	Optum fee schedule · outpatient · +10 other terms	33	$77	$102	$44	43%	—	$70 – $219
14	Bcbs Tx fee schedule · outpatient	31	$351	$326	$149	46%	—	$76 – $631
15	Oscar facility · fee schedule · outpatient · +6 other terms	27	$101	$109	$22	20%	—	$76 – $146
16	Clover fee schedule · outpatient · +3 other terms	24	$88	$84	$7	8%	—	$75 – $95
17	Aetna Better Health fee schedule · outpatient · +8 other terms	22	$81	$83	$6	7%	—	$79 – $95
18	Regence facility · fee schedule · outpatient · +6 other terms	21	$79	$94	$37	40%	—	$67 – $208
19	Medical Mutual facility · fee schedule · outpatient · +1 other terms	20	$108	$156	$78	50%	—	$41 – $335
20	Healthpartners fee schedule · outpatient · +1 other terms	19	$96	$96	$4	4%	—	$78 – $98
21	Medicare fee schedule · outpatient · +6 other terms	18	$77	$77	$1	2%	—	$75 – $77
22	Highmark fee schedule · outpatient · +6 other terms	16	$107	$209	$1.1k	535%	—	$43 – $17.0k
23	MultiPlan fee schedule · outpatient · +10 other terms	15	$135	$133	$10	8%	—	$78 – $135
24	Wellmark fee schedule · both · +4 other terms	14	$80	$80	$0	0%	—	$78 – $80
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$81	$81	$1	1%	—	$79 – $83

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