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Idaho rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $71.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $67.98 / $77.25
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.98 / $81.89 / $110.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $67.98 / $77.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.91 / $236.57 / $441.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.68 / $74.16 / $74.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80