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Idaho 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
$0.31 / $631.59 / $3,480.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.36 / $1,441.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.43 / $3.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.63 / $1.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.51