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EpiFix Injectable

New Jersey rates for HCPCS Q4145

EpiFix, injectable, 1 mg

Rates data updated July 2026.

How much does EpiFix Injectable cost?

$25.70per mg

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $25.70 for each mg of this drug. The price depends on where it is billed: about $25.70 from a physician practice, and about $1,622 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
$25.70
At a hospital outpatient department
$1,622

The same drug, in the same amount, costs 6210% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$25.70$24.55 to $25.70
FacilityA hospital or hospital-owned outpatient department$1,622$25.70 to $13,490

How much rates vary

Facilitymedian $1,622 · 10th to 90th $25 to $19,498Professionalmedian $26 · 10th to 90th $24 to $26
$100$1K$10Kfacility $1,622professional $26

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.70
Typical High
$25.70
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$9,332.54
Typical High
$20,417.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$27.54
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$26.30

Where New Jersey 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.

New Jersey· 8th of 51

$25.70

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.