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Nebraska 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
$0.31 / $0.31 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.46 / $944.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.35 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.59 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.67 / $1.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.88 / $2.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.48