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Vermont 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
$0.32 / $0.32 / $3.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.96