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South Carolina 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
$1.55 / $1.95 / $2.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.29 / $2.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $1.58 / $2.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.46 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.54 / $1.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.36 / $0.36