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Rhode Island 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
$25.51 / $25.51 / $913.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.92 / $8.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $7.57 / $11.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.85 / $7.85
Cigna
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