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Indiana rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.85 / $1.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $0.99