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Kansas rates for HCPCS J0841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,011.87 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $5,011.87 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,288.25 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $4,897.79