go back

Texas 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
$1.41 / $1.58 / $2.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $4.47 / $7.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $1.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.38 / $1.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.25 / $0.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.40 / $1.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.45