go back

Kentucky 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 / $61.80 / $105.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $61.80 / $68.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.95 / $72.88 / $123.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.53 / $61.80 / $61.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $67.14 / $98.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $67.98 / $95.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $61.80 / $237.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $297.56 / $297.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $62.15