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Arkansas rates for HCPCS Q5124

Injection, ranibizumab-nuna, biosimilar, (Byooviz), 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.47 / $74.16 / $74.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $62.40 / $74.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.57 / $63.57 / $63.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $63.57 / $86.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $61.80 / $61.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $237.44