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Michigan 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
$7.79 / $8.09 / $24.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $8.09 / $9.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $16.59 / $31.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.74 / $7.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.75 / $10.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $9.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $11.78 / $21.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $7.85 / $9.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.70 / $9.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.74 / $10.05