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Missouri 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
$1.52 / $1.83 / $1.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.34 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.43 / $1.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $4,027.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.37