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Minnesota 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 / $61.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $66.73 / $1,179.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $199.55 / $253.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.72 / $62.15 / $187.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.13 / $554.34 / $674.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $110.73 / $204.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.17 / $505.87 / $634.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $87.19 / $185.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $105.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $62.15 / $111.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $121.92