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Vermont rates for HCPCS Q5106

Injection Epoetin Alfa-Epbx Biosimilar (Retacrit) (For Non-Esrd Use) 1000 Units (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.72 / $13.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.84 / $13.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.84 / $13.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $7.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $8.32 / $11.84