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Mississippi rates for HCPCS Q5105

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.79 / $1.01