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Louisiana 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 / $0.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.36 / $0.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.45 / $180.45 / $180.45
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 / $0.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.34