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New Mexico 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
$2,247.54 / $2,247.54 / $2,503.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $3.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $4.13 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.48 / $0.65
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 / $0.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32