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Tennessee rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $0.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.79 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.50 / $1,342.50 / $1,342.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.85 / $0.95