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North Carolina rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.09 / $223.17 / $237.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $75.31 / $223.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.25 / $114.15 / $170.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $66.34 / $66.34
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 / $279.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.54 / $223.17 / $307.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.84 / $189.84 / $189.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $166.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.20 / $271.20 / $747.02