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North Dakota 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 / $111.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $62.40 / $75.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.12 / $63.44 / $64.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.65 / $63.34 / $63.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $87.19 / $108.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $92.70 / $279.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $62.15 / $85.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.53 / $61.80 / $69.22