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Virginia 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 / $21.04 / $1,313.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.24 / $13.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $16.55 / $26.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $10.61 / $16.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.42 / $13.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $17.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.46 / $9.50 / $12.58
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $9.50 / $12.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.32 / $10.21