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Arizona rates for HCPCS Q5105

Injection, epoetin alfa-epbx, biosimilar, (Retacrit) (for ESRD on dialysis), 100 units

Facilitymedian $1 · 10th–90th $1–$20%10%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$30%20%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.09 / $3.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $1.05 / $2.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.81 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.83 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.83 / $1.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $4.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.71 / $1.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $0.85