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Washington, DC rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $14,011.40 / $18,880.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $7,436.58 / $12,574.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $4,875.68 / $5,168.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,393.00 / $4,393.00 / $5,168.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,703.09 / $5,168.22 / $8,376.56