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Indiana 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
$1,847.00 / $4,229.64 / $8,458.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,847.00 / $1,861.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.71 / $3,657.42 / $4,846.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.41 / $1,828.71 / $2,596.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.72 / $2,011.59 / $2,743.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.59 / $2,011.59 / $2,011.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $1,828.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $4,846.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $3,108.82