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North Carolina rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.58 / $466.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $1.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.20 / $1.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.95 / $1.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.85 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.23 / $1.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.00 / $2.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.27 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $1.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.50 / $1,342.50 / $1,342.50