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New Hampshire 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 / $0.32 / $1,846.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.57 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.52 / $0.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $2.08 / $3.19