Q5106

CPT/HCPCS

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units

Physician Fee Schedule

Facility

Medicare Payment

$6.10

Submitted Charge$8.06

Medicare Allowed$7.66

Providers4

Beneficiaries26

Total Services4,462

Office

Medicare Payment

$6.07

Submitted Charge$25.59

Medicare Allowed$7.73

Providers3,926

Beneficiaries15,021

Total Services3,457,329.5