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Utah 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
$1,000.00 / $1,000.00 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.50 / $0.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.35 / $1.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $1.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36