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Wisconsin rates for HCPCS Q5105

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

Facilitymedian $1 · 10th–90th $1$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.74 / $1.74 / $1.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.45 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.17 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.98 / $1.41
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.85 / $4.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.79 / $1.62
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $1.15 / $2.19
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.20 / $4.68
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.71 / $1.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.79 / $1.12