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Michigan 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 / $0.81 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.46 / $4.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.81 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.32 / $2.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.79 / $0.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.79 / $1.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.84 / $0.98