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Idaho 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
$1,861.13 / $1,861.13 / $2,140.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $2,011.59 / $2,285.89
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,011.59 / $2,423.04 / $3,268.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $2,285.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,083.57 / $3,084.53 / $5,560.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.46 / $2,194.46 / $2,285.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $2,925.95