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Tennessee 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
$7.57 / $7.85 / $16.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.85 / $9.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $7.85 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $11.84