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Washington rates for HCPCS Q5106

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

Facilitymedian $13 · 10th–90th $8$190%10%10th90th$13Professionalmedian $8 · 10th–90th $7$5010%20%10th90th$8$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
$9.55 / $15.14 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $758.58
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $21.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $12.02 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.77
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $7.76 / $9.77
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.96 / $21.88
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.91 / $8.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $21.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.59 / $8.51
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.23