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Alaska rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,098.85 / $9,149.14 / $32,345.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,018.27 / $9,612.91 / $11,583.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,746.46 / $13,746.46 / $13,746.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $16,641.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,652.80 / $8,035.44 / $12,627.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,211.23 / $11,479.20 / $18,940.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,607.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $7,752.35 / $10,425.35