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Massachusetts 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
$0.32 / $844.65 / $2,738.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.86 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $2.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.42 / $0.88
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $1.45
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.98 / $264.00 / $681.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $2.10
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.43 / $0.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $2.10