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Ohio rates for HCPCS Q5105

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

Facilitymedian $2 · 10th–90th $1–$1,3490%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.91 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.58 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.89 / $1.35
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.91
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.12 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.98 / $1.15
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.85 / $1.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.98 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.76 / $1.05