go back

Oregon 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
$1.58 / $1.58 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.71 / $0.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.39 / $1.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.43 / $0.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.32 / $0.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.41 / $1.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.48 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.41