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Ohio 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%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.2$1.0$5.0$20.0

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
$1.58 / $1.74 / $2.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.25 / $0.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.26 / $0.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.37
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.46 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.49 / $85.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.39 / $0.52
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.28 / $0.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.36 / $0.37