go back

Arizona rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.13 / $123.60 / $185.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $67.98 / $305.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.80 / $240.83 / $571.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.43 / $195.54 / $1,295.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $97.77 / $271.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $62.15 / $62.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $85.57