go back

Washington rates for HCPCS Q0139

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis)

Facilitymedian $0 · 10th–90th $0–$20%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$20%20%10th90th$0$0.2$1.0$5.0$20.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $2.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.58 / $0.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.36 / $1.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.36 / $1.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.32 / $0.46
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $1.00 / $1.00
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.46 / $0.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.58 / $0.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.23 / $0.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.36 / $0.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.36