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Michigan rates for HCPCS Q0139

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.58 / $2.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.45 / $0.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.43 / $2.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.33 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.36 / $0.38