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Louisiana 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 / $65.26 / $155.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $62.41 / $75.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.13 / $94.13 / $141.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.13 / $94.13 / $96.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $55.28 / $61.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $129.10