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Arizona 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
$0.64 / $0.64 / $2,283.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.47 / $1,144.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $1.12 / $1.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.30 / $1.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.49 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32