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Texas 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 / $1.30 / $8,741.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.81 / $8.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.77
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 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.50 / $1,342.50 / $1,342.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.86 / $1.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.85 / $1.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.87 / $1.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.86 / $2.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $0.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.85 / $1.14