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Georgia 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 / $824.45 / $824.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.79 / $0.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $2.40
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.71 / $3,425.00 / $7,273.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.06 / $1.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.80 / $1.01