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Idaho rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,713.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $5,685.05 / $6,460.29
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,685.05 / $6,847.91 / $9,238.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $6,460.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,777.43 / $7,166.16 / $11,943.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,201.87 / $6,201.87 / $6,460.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22