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Connecticut 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
$0.34 / $742.56 / $1,025.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.53 / $1.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
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
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.35 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $2.27