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Pennsylvania rates for HCPCS Q0138

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)

Facilitymedian $724 · 10th–90th $1–$1,3800%10%10th90th$724Professionalmedian $479 · 10th–90th $2–$1,4450%10%10th90th$479$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $758.58 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $489.78 / $1,445.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.39 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.81 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.40 / $0.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.65 / $1.78
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $1.38 / $1.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.52 / $0.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.52 / $0.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.66