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New Mexico rates for HCPCS Q0139

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.34 / $6.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.61 / $0.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.33 / $1.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32