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Iowa 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
$14.16 / $16.51 / $703.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $29.88 / $960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $8.48 / $9.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.08 / $28.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $8.48 / $13.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $8.43 / $13.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.21 / $17.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $9.68 / $22.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.09 / $9.34
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.57