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Vermont rates for HCPCS Q5106

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $8.71 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.94 / $11.75