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South Carolina 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
$2,290.87 / $2,290.87 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.58 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.62 / $3.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $1.48 / $1.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.51 / $1.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.36 / $0.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.36 / $0.40