go back

Maine rates for HCPCS Q5106

Injection, epoetin alfa-epbx, biosimilar, (Retacrit) (for non-ESRD use), 1000 units

Facilitymedian $19 · 10th–90th $10–$190%20%40%10th$19Professionalmedian $8 · 10th–90th $7–$90%50%10th90th$8$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $25.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $11.22 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.55
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $11.75