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North Carolina 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
$0.48 / $0.83 / $2.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.48 / $0.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.35 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.46 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.73 / $1.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $1.00 / $1.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.53 / $1.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.34
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,027.60 / $4,027.60 / $4,027.60