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New York 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 / $1.35 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.85 / $1.62
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.00 / $1,208.00 / $6,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.91 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.34 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.93 / $1.08
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.91 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.88 / $1.17
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85