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Montana rates for HCPCS Q0139

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

Facilitymedian $0 · 10th–90th $0–$10%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%20%10th90th$0$0.2$5.0$100.0$2.0K$50.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.58 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.40
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.39 / $0.45 / $0.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.45 / $0.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.58 / $1.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.48 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36