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Arizona rates for HCPCS Q0139

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.42 / $0.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.38 / $0.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.37 / $1.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $2.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32