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Oklahoma 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 / $8.17 / $13.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $8.48 / $8.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.63 / $32.42
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 / $7.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $8.58 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.57 / $8.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $8.74