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Arkansas rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,564.80 / $6,201.87 / $6,201.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,962.30 / $6,201.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,390.44 / $5,390.44 / $5,390.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,156.07 / $5,390.44 / $5,390.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.46 / $4,875.68 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,909.82 / $5,168.22 / $5,168.22