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Missouri rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.09 / $293.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.86 / $1.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $20.10 / $20.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.95 / $1.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.82 / $1,342.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.90 / $1.01