go back

Washington, DC rates for HCPCS J0841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $15,488.17 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,128.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,621.81 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,897.79 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,897.79 / $7,943.28