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Georgia 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
$0.32 / $0.32 / $0.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.46 / $3.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.52 / $1.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.43