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Rhode Island rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.85 / $200.85 / $200.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $64.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.91 / $62.15 / $237.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80