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Arizona rates for HCPCS J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,956.73 / $3,657.44 / $5,486.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.59 / $2,251.96 / $7,974.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.66 / $6,317.51 / $10,007.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.58 / $1,801.58 / $11,632.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.20 / $1,828.71 / $1,828.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $1,828.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.23 / $2,456.69 / $3,565.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.13 / $1,861.13 / $1,861.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $1,828.72