go back

North Dakota 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
$1,828.72 / $1,828.72 / $3,350.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $2,251.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,983.98 / $1,993.90 / $2,019.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.38 / $1,990.92 / $2,008.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.94 / $1,806.83 / $2,236.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.13 / $2,076.46 / $3,837.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.81 / $1,861.13 / $2,021.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,554.41 / $1,828.72 / $2,048.17