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Pennsylvania rates for HCPCS Q5105

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

Facilitymedian $2 · 10th–90th $1$20%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1.10 / $1.86 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.86 / $3.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.12 / $2.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.23 / $1.23
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.12 / $1.66
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.20 / $2.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.57
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $6,918.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1.82 / $30.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.91 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.85 / $1.20