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North Carolina 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
$0.48 / $971.32 / $3,628.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.48 / $271.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.60 / $0.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.95
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 / $1.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.48 / $1.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $100.00