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New Mexico 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 / $96.89 / $96.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $62.40 / $235.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $223.17 / $223.17
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 / $61.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $61.80 / $170.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80