go back

Minnesota 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
$478.63 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $331.13 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.76 / $0.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $1.12 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.07 / $1.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.83 / $1.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.71