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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
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 / $0.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.02 / $1.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.36 / $0.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.85 / $1.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.38
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 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.43