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Florida rates for HCPCS J1162

Digoxin Immune Fab (Ovine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $7,452.87 / $11,328.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $5,168.22 / $5,685.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $5,168.22 / $5,323.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $5,168.22 / $5,168.22
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,460.77 / $5,460.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,739.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,168.22