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Washington, DC 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 / $18.98 / $465.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $9.32 / $17.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $6.67 / $7.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $7.85 / $11.53