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Indiana rates for HCPCS Q5124

Injection Ranibizumab-Nuna Biosimilar (Byooviz) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.41 / $279.68 / $409.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $62.40 / $62.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $123.60 / $163.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.53 / $62.15 / $88.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $61.80 / $92.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $77.25
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 / $469.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $105.06