go back

Florida 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 / $17.19 / $1,070.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.85 / $8.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $10.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.85