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Massachusetts 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
$7.84 / $7.85 / $613.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.16 / $9.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $21.04 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $11.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $10.02 / $21.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.27 / $10.27 / $12.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $16.30
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.17 / $224.91 / $522.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $11.84
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $8.39 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $13.74