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South Dakota rates for HCPCS Q5106

Injection, epoetin alfa-epbx, biosimilar, (Retacrit) (for non-ESRD use), 1000 units

Facilitymedian $8 · 10th–90th $7–$150%50%10th90th$8Professionalmedian $8 · 10th–90th $7–$100%20%40%10th90th$8$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $9.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $20.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $8.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.59 / $8.71
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.76