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

North Carolina 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?

$0.83per 100 units

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $0.83 for each 100 units of this drug. The price depends on where it is billed: about $0.83 from a physician practice, and about $1.12 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
$0.83
At a hospital outpatient department
$1.12

The same drug, in the same amount, costs 35% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.83$0.83 to $0.91
FacilityA hospital or hospital-owned outpatient department$1.12$0.89 to $1.51

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
$1$2facility $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
$0.83
Median
$0.85
Typical High
$2.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$0.85
Typical High
$0.85
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$0.87
Median
$1.23
Typical High
$1.62
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$0.83
Median
$0.83
Typical High
$1.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.89
Median
$1.20
Typical High
$1.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Medcost
Setting
Facility
Modifier
None
Typical Low
$0.85
Median
$0.85
Typical High
$0.95
Medcost
Setting
Professional
Modifier
None
Typical Low
$1.15
Median
$1.15
Typical High
$1.32
United
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$0.83
Typical High
$0.87
5 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
$0.43
Typical High
$0.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.16
Median
$0.17
Typical High
$0.17
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.12
Median
$0.13
Typical High
$0.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.08
Median
$0.09
Typical High
$0.09
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$0.28
Median
$0.58
Typical High
$0.58

Where North Carolina 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.

North Carolina· 12th of 51

$0.83

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.