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Ohio rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.55 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.70 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.87 / $1.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.78 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $2.00 / $85.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.91 / $1.15
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.95 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.78 / $0.87