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Illinois rates for HCPCS Q5124

Injection Ranibizumab-Nuna Biosimilar (Byooviz) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $108.15 / $230.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $62.40 / $95.78
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $111.86 / $407.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $80.34 / $80.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $90.79