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Ohio 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 / $140.90 / $1,711.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $62.40 / $105.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.73 / $107.93 / $177.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $62.15 / $104.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $61.80 / $105.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $83.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $55.28 / $61.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $373.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $373.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.36 / $87.01 / $119.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $85.97