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Michigan rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.65 / $64.02 / $199.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $63.65 / $75.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.72 / $442.65 / $837.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.39 / $202.52 / $202.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $112.04 / $279.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $63.65 / $74.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $84.62