go back

Ohio 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
$0.32 / $0.32 / $0.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.48 / $0.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.49 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.59 / $85.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.35 / $0.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.32 / $0.34