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EpiFix Injectable

Washington 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 Washington, 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 $19.50 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
$19.50

The same drug, in the same amount, costs 22% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$23.99 to $25.70
FacilityA hospital or hospital-owned outpatient department$19.50$19.50 to $25.70

How much rates vary

Facilitymedian $19 · 10th to 90th $19 to $26Professionalmedian $25 · 10th to 90th $23 to $26
$20$50facility $19professional $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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$48.98
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$25.12
Typical High
$25.12
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12

Where Washington 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.

Washington· 16th 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.