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New Jersey rates for HCPCS Q5106

Injection, epoetin alfa-epbx, biosimilar, (Retacrit) (for non-ESRD use), 1000 units

Facilitymedian $12 · 10th–90th $9–$9120%20%10th90th$12Professionalmedian $7 · 10th–90th $7–$100%50%90th$7$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.30 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.23
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $8.13 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $10.47 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $13.18
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $10,232.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $8.71 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $8.51