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Nebraska rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $118.79 / $136.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $104.30 / $1,179.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.47 / $66.45 / $69.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $69.26 / $70.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $87.19 / $108.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $118.09 / $747.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $62.15 / $85.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.68 / $283.37 / $397.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $194.81 / $283.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.71 / $61.80 / $85.57