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Kansas 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
$8.33 / $84.98 / $502.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.01 / $10.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.18 / $9.66 / $15.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $8.49 / $8.49
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $9.63 / $13.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $8.02 / $12.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $13.93