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Connecticut rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.96 / $7,760.80 / $14,442.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,374.96 / $5,374.96 / $5,374.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,606.43 / $7,856.74 / $15,491.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,363.26 / $5,607.04 / $6,465.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,651.41 / $5,168.22 / $5,736.74