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Minnesota 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
$1.41 / $1.58 / $2.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.36 / $0.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.36 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $1.05 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.39 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.07 / $1.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.56