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Alaska rates for HCPCS Q0138

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.51 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $1.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $2.45 / $3.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.54 / $2,951.21