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Oregon rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.42 / $1.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.03 / $2.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.96 / $1.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.85 / $1.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.94 / $2.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.89 / $1.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.98