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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
$62.15 / $67.13 / $114.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $66.73 / $68.65
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 / $61.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $67.13 / $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
$61.80 / $61.80 / $85.57