go back

Texas rates for HCPCS J0841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,165.95 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,019.95 / $5,754.40
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,888.44 / $12,022.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $4,897.79 / $5,370.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $4,168.69 / $7,244.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79