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Vermont rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $68.65 / $106.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $94.50 / $157.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $94.50 / $157.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.71 / $61.80 / $237.44