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Maine 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 / $0.89 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.89
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.89 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.23