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North Dakota 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 / $13.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.92 / $9.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $8.27 / $8.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.27 / $8.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.27 / $9.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $11.78 / $22.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $8.43 / $9.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.86 / $9.78