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Vermont rates for HCPCS Q4081

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $2.27