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Virginia rates for HCPCS Q5106

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

Facilitymedian $16 · 10th–90th $7–$7240%10%10th90th$16Professionalmedian $7 · 10th–90th $7–$100%50%90th$7$5.0$20.0$100.0$500.0

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 / $16.98 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.85 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $13.18
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.75 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $15.49 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $14.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $17.38
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $9.55 / $12.59
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.55 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.71 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.94 / $9.77