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Delaware 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
$20.17 / $2,134.73 / $2,397.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.84 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.61 / $62.61 / $62.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.74 / $13.65