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Utah rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.34 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.91 / $1.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.12 / $1.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.85 / $1.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78