go back

Hawaii rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.70 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.95
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.93 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.95