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Oklahoma 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
$0.38 / $0.38 / $1,730.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.33 / $0.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $2.09 / $3.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.38 / $1.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.32 / $0.32