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Colorado 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 / $15.06 / $19.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.92 / $10.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $13.78 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $8.32 / $13.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.64 / $12.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85