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Massachusetts rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $227.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.89 / $1,342.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.04 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $1,342.50
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.89 / $1.40