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Kansas rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $109.65 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $95.50 / $269.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $61.66 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $102.33