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Pennsylvania 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 / $4,355.04 / $5,657.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,847.00 / $7,974.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.38 / $1,983.98 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.72 / $1,897.72 / $1,897.72
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.74 / $4,355.04 / $5,657.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,879.74 / $5,657.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.20 / $1,828.71 / $1,828.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $1,828.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,112.09 / $2,112.09 / $2,450.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,112.09 / $2,112.09 / $2,450.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $3,261.96