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South Carolina rates for HCPCS Q5124

Injection Ranibizumab-Nuna Biosimilar (Byooviz) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.89 / $64.89 / $263.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $64.89 / $223.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.27 / $265.37 / $305.05
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.89 / $77.87 / $433.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $85.57