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Louisiana 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
$7.64 / $8.09 / $26.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $7.85 / $9.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.65 / $10.02 / $11.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $7.78 / $7.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.92 / $395.92 / $395.92
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $11.05