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Florida rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $9,332.54 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,128.61 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,623.41
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $5,128.61 / $5,128.61
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,128.61 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,128.61 / $5,370.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61