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Connecticut 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
$8.17 / $12.30 / $378.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $8.17 / $8.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.08 / $11.93 / $24.26
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
$7.85 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $8.50 / $9.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $8.30 / $12.82