go back

Missouri rates for HCPCS J0841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,584.00 / $1,663.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,076.50 / $1,663.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,776.76 / $3,754.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,306.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.99 / $985.99 / $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 / $1,464.00 / $6,321.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.52 / $1,044.14 / $1,208.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.16 / $1,397.31 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.38 / $1,045.15 / $1,278.22