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Hawaii rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $62.40 / $84.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.03 / $247.03 / $247.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $74.16 / $86.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $92.70 / $203.04