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Minnesota 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
$7.85 / $7.85 / $7.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.09 / $29.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $10.99 / $18.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $7.57 / $7.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $24.72 / $30.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $9.11 / $9.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $22.56 / $28.32
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.20 / $9.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $12.79 / $25.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $8.43 / $14.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.74 / $15.02