go back

Arizona rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.31 / $2,090.30 / $5,030.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.55 / $1,263.41 / $3,312.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.14 / $3,613.08 / $5,946.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.88 / $1,010.73 / $6,648.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,378.26 / $1,642.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $1,044.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.55 / $1,043.55 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15