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Ohio 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 / $894.20 / $1,956.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $551.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.55 / $0.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $2.42
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.52 / $5.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $2.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.41 / $0.46
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 / $0.45