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Nebraska 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 / $15.09 / $5,152.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $29.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $8.44 / $8.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.57 / $8.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.85 / $9.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $13.30 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.57 / $9.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $12.03 / $17.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $9.71 / $22.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $9.34