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California rates for HCPCS Q0139

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

Facilitymedian $0 · 10th–90th $0–$20%50%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%20%10th90th$0$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.58 / $2.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.31 / $0.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.36 / $1.10
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.66 / $1.66
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.46 / $1.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.30 / $0.33 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.36 / $2.00
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.42 / $1.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.23 / $0.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.66