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Minnesota 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 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.77 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $2.37 / $3.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.85 / $0.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.99 / $2.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.77 / $1.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.85 / $2.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.54