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Epoetin Alfa-epbx (Retacrit), for ESRD on Dialysis Injection

Massachusetts rates for HCPCS Q5105

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

Rates data updated July 2026.

How much does Retacrit (epoetin alfa-epbx) cost?

$0.79per 100 units

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $0.79 for each 100 units of this drug. The price depends on where it is billed: about $0.79 from a physician practice, and about $1.05 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 100 units. Enter the amount given to see what insurers have agreed to pay for it.

units
In a doctor's office or clinic
$0.79
At a hospital outpatient department
$1.05

The same drug, in the same amount, costs 32% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$0.79$0.79 to $0.81
FacilityA hospital or hospital-owned outpatient department$1.05$0.79 to $2.00

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$1$2$5$10$20$50facility $1professional $1

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
$0.79
Median
$1.58
Typical High
$2.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$1.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.79
Typical High
$4.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$1.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$1.05
Typical High
$1.51
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.79
Typical High
$4.90
United
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.81
Typical High
$1.20

Where Massachusetts 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.

Massachusetts· 17th of 51

$0.79

NY $1.12MN $0.76

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.