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Pennsylvania 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 / $145.43 / $188.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $62.41 / $305.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.93 / $65.80 / $82.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.94 / $62.94 / $62.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $61.80 / $61.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.77 / $154.13 / $188.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $64.29 / $235.95
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $61.80 / $61.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.95 / $235.95 / $273.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.95 / $235.95 / $273.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $113.09