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Louisiana rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.84 / $1.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.31 / $1.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.78 / $0.80
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 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.85 / $0.94