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North Carolina 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
$0.85 / $1.68 / $59.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.90 / $1.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.13 / $1.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.00 / $1.46
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,273.11 / $7,273.11 / $7,273.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.24 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.84 / $0.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63