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New York rates for HCPCS Q4081

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

Facilitymedian $1 · 10th–90th $1$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.35 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.70 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.98 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.85
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.79 / $1.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.79 / $0.98
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.00 / $1.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $123.03
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $1.07 / $2.14
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.20
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85