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Maine rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.26 / $143.38 / $154.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $64.27 / $84.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.80 / $75.06 / $195.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $74.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.38 / $143.38 / $154.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $67.59 / $108.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $92.70