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Utah 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
$2,121.31 / $2,121.31 / $2,158.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,121.31 / $2,121.31 / $2,121.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,081.85 / $2,506.17 / $2,851.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $1,828.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,068.52 / $4,072.42 / $5,493.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.28 / $1,828.72 / $1,828.72