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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
$8.24 / $602.25 / $1,204.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.24 / $10.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $14.55 / $22.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $11.95 / $14.46
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.24 / $9.89 / $19.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $8.74