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Arizona rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,530.01 / $10,001.79 / $15,504.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,465.44 / $6,011.98 / $10,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,328.62 / $17,206.28 / $28,320.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,306.59 / $4,809.58 / $32,876.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $6,558.53 / $7,815.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $4,968.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22