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Ohio 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
$8.63 / $17.89 / $792.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.09 / $251.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $12.64 / $22.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $14.91
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.52 / $10.52 / $10.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.85 / $11.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $7.85 / $10.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $17.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $13.93 / $30.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $17.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.81 / $10.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.74 / $9.73