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Illinois 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
$0.30 / $0.30 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $1.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.76 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $1.50 / $3.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.45 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.34