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Florida 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
$0.76 / $1.28 / $68.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.79 / $0.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.79 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.79 / $0.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $141.52 / $205.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.84 / $0.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.79