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North Carolina 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
$8.51 / $16.71 / $281.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.51 / $11.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.25 / $13.20 / $15.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $7.83 / $7.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $13.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $9.34 / $14.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $11.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00