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Arkansas rates for HCPCS Q5106

Injection, epoetin alfa-epbx, biosimilar, (Retacrit) (for non-ESRD use), 1000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.42 / $254.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.92 / $9.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $9.52 / $9.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.85 / $9.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $11.84