go back

Wyoming 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 / $62.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $62.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.44 / $279.33 / $279.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.28 / $55.28 / $55.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $82.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80