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Wisconsin rates for HCPCS Q5106

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

Facilitymedian $23 · 10th–90th $8$9550%10%10th90th$23Professionalmedian $8 · 10th–90th $7$260%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
$7.76 / $524.81 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $16.98 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $18.62 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $14.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $16.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.51 / $11.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.76 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.51
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $25.70
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.51 / $11.22