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Georgia 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
$7.57 / $14.99 / $4,023.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.92 / $11.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $12.78 / $28.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $15.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.47 / $38.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $10.05