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New Mexico 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 / $11.80 / $11.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.92 / $23.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $62.48 / $101.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $11.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $7.85 / $7.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85