go back

Washington, DC rates for HCPCS Q5105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.89 / $2.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.79 / $1.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.88 / $1.15