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West 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
$7.57 / $7.57 / $7.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.92 / $8.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.85 / $7.85 / $11.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.85 / $11.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $12.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.54 / $26.54 / $26.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $8.74 / $13.93