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Oregon 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 / $120.23 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $169.82 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $134.90 / $158.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $66.07 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $66.07 / $120.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $61.66 / $158.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $213.80 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $70.79 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $354.81 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $69.18