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Texas 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 / $150.65 / $338.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $62.41 / $68.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.40 / $169.98 / $335.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.43 / $98.43 / $98.43
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.20 / $747.02 / $747.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $88.37 / $91.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.38 / $61.80 / $306.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $61.80 / $91.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $67.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $83.43 / $169.20