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Illinois rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.18 / $327.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.67 / $5.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.45 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $2.19 / $13.12
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.97 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $0.99