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Nevada 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
$7.57 / $14.38 / $18.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.92 / $502.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $8.24 / $25.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.57 / $7.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.28 / $13.24
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $7.85 / $8.74