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

Missouri rates for HCPCS Q5105

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

Rates data updated October 2026.

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

$0.81per 100 units

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $0.81 for each 100 units of this drug. The price depends on where it is billed: about $0.81 from a physician practice, and about $1.32 from a hospital or other facility.

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
$0.81
At a hospital outpatient department
$1.32

The same drug, in the same amount, costs 62% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.81$0.79 to $1.32
FacilityA hospital or hospital-owned outpatient department$1.32$0.89 to $1.48

How much rates vary

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

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.79
Median
$0.81
Typical High
$4.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$0.81
Typical High
$0.95
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$0.87
Median
$1.07
Typical High
$2.09
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$1.00
Typical High
$1.32
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.91
Median
$1.38
Typical High
$1.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Medica
Setting
Facility
Modifier
None
Typical Low
$0.76
Median
$0.78
Typical High
$1.51
Medica
Setting
Professional
Modifier
None
Typical Low
$0.76
Median
$1.17
Typical High
$4.68
United
Setting
Professional
Modifier
None
Typical Low
$0.71
Median
$0.83
Typical High
$0.91
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.40
Median
$0.41
Typical High
$0.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.16
Median
$0.16
Typical High
$0.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.12
Median
$0.12
Typical High
$0.14
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.08
Median
$0.08
Typical High
$0.10

Where Missouri 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.

Missouri· 16th of 51

$0.81

WY $1.12WV $0.79

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.