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Utah rates for HCPCS Q5124

Injection Ranibizumab-Nuna Biosimilar (Byooviz) 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $72.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $71.68 / $235.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.15 / $223.47 / $256.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.52 / $369.04 / $457.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.71 / $61.80 / $61.80