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Maryland 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 / $15.62 / $544.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.85 / $9.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $9.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $12.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.74 / $9.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $7.47 / $7.47