go back

Texas 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
$7.59 / $15.85 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $27.54 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $15.85 / $58.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $85.11 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.48 / $794.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.41 / $7.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.22 / $25.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.51 / $8.51