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Alaska rates for HCPCS Q4081

Injection, epoetin alfa, 100 units (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $1.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.59 / $2.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.89 / $1.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.59 / $2.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.91 / $1.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.28 / $2.42