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Michigan 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
$0.33 / $223.38 / $1,370.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $513.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.76 / $1.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $1.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.48 / $1,370.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $1.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.36 / $0.37
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 / $0.34