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Virginia rates for HCPCS J0841

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $10,232.93 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $9,772.37 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $8,317.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,621.81 / $2,454.71
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $4,168.69 / $5,888.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $4,897.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,786.30 / $7,244.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $4,786.30 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,737.80 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $4,897.79 / $4,897.79