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Missouri 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
$154.88 / $794.33 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $954.99 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.39 / $1.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.36 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $1.86 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.31 / $0.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.40 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.36 / $0.45