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West Virginia rates for HCPCS Q5124

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $62.15 / $62.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.79 / $62.40 / $68.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $92.70 / $92.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $61.80 / $237.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $297.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $279.33