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South Dakota 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%50%10th90th$0$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.52 / $1.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.31 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.36 / $0.50
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.36
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.36 / $0.36