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Missouri 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
$8.00 / $13.90 / $128.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.01 / $9.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $13.35 / $28.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $9.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $13.24 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $7.57 / $9.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $10.96