go back

Maine 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
$4,242.63 / $4,242.63 / $4,571.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.86 / $2,251.96 / $2,251.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.64 / $2,221.33 / $5,795.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $1,828.72
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 / $1,828.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $2,214.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,242.63 / $4,242.63 / $4,571.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.86 / $2,251.96 / $4,571.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $3,561.20