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EpiFix Injectable

Idaho rates for HCPCS Q4145

EpiFix, injectable, 1 mg

Rates data updated July 2026.

How much does EpiFix Injectable cost?

$25.12per mg

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $25.12 for each mg of this drug. The price depends on where it is billed: about $25.12 from a physician practice, and about $25.70 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$25.12
At a hospital outpatient department
$25.70

The same drug, in the same amount, costs 2% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.12$25.12 to $25.70
FacilityA hospital or hospital-owned outpatient department$25.70$25.12 to $30.20

How much rates vary

Facilitymedian $26 · 10th to 90th $19 to $37Professionalmedian $25 · 10th to 90th $24 to $26
$20$50facility $26professional $25

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$25.12
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.84
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12

Where Idaho sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 23rd of 51

$25.12

CA $26.30ND $21.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.