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New Jersey 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
$7.84 / $13.25 / $356.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $9.27 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $7.49 / $8.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.52 / $9.61