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California 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
$7.85 / $16.32 / $744.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.16 / $502.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.97 / $12.54 / $29.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $8.93 / $22.88
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.25 / $12.58 / $19.07
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $22.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $9.26 / $18.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.85 / $11.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.54 / $19.54 / $19.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $8.64 / $13.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $17.29