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Tennessee 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 / $80.80 / $135.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $68.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.33 / $279.33 / $279.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.20 / $747.02 / $747.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.19 / $141.19 / $141.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $237.44