go back

Rhode Island rates for HCPCS J0841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,396.74 / $3,396.74 / $3,396.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,086.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $1,346.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15