go back

Oklahoma 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
$0.35 / $1,899.84 / $8,829.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.97 / $3.05
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 / $0.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.46 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.33
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