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Idaho 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
$0.31 / $0.31 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.45 / $1.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.34 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32