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Texas 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 / $934.07 / $1,768.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $4.83 / $9.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $1.00 / $1,882.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.56 / $380.56 / $380.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.46 / $2.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.38 / $0.43