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Oklahoma rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $64.57 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $61.66 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $67.61 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $85.11