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Virginia rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.12 / $505.12 / $505.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.85 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.85 / $2.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.13 / $1.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.51 / $2.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.02 / $1.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.02 / $1.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $0.95