go back

Arizona rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.21 / $2.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.05 / $1.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.82 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.85 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.92 / $2.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $1,342.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.90