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Wyoming rates for HCPCS J0840

Injection Crotalidae Polyvalent Immune Fab (Ovine) Up To 1 Gram (Reinstated Code Previous Description Was Coumadin Up To 50 Mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.13 / $1,861.13 / $1,861.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $1,861.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,261.96 / $3,837.60 / $3,837.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.20 / $1,725.20 / $1,725.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.71 / $1,828.71 / $2,587.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.72 / $1,828.72 / $1,828.72