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New Hampshire rates for HCPCS Q0139

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

Facilitymedian $1 · 10th–90th $0–$10%10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$00%50%90th$0$0.2$0.5$1.0$2.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.36 / $0.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.25 / $0.41 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.36 / $0.98
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.45 / $1.58