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South Dakota rates for HCPCS Q5105

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

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$1.0$2.0$5.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.23 / $2.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $1.29 / $1.51
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.85 / $4.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.91 / $0.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.83 / $1.02
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.79
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.79