go back

New York 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
$0.32 / $612.00 / $2,249.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $417.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $1.39
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.13
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.51 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.42
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.90 / $0.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.54 / $1.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.43 / $1.07
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 / $0.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.86