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South Carolina 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
$7.08 / $489.78 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $12.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $13.80 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.22 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $7.59 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.55 / $21.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.59 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.94 / $9.12