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Oregon rates for HCPCS Q5106

Injection Epoetin Alfa-Epbx Biosimilar (Retacrit) (For Non-Esrd Use) 1000 Units (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $15.14 / $1,873.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.16 / $251.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $12.69 / $14.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $8.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $16.34 / $19.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $11.23 / $16.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $10.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.82 / $7.85 / $15.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $12.69 / $16.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $9.06 / $9.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $13.46 / $27.52
Regence BlueShield
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 / $8.74