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North Carolina rates for HCPCS J0841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.19 / $1,676.87 / $2,296.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.19 / $1,045.15 / $1,676.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.80 / $2,593.35 / $3,719.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $1,044.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,584.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.19 / $1,243.73 / $1,742.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.80 / $1,390.80 / $1,390.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.13 / $1,273.13 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,358.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.00 / $1,464.00 / $6,321.05