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Virginia 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
$0.34 / $884.68 / $3,169.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $1.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.68 / $1.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.51 / $0.77
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 / $0.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.38 / $2.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $1.52 / $1.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.41 / $1.55
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.41 / $1.55
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 / $0.40