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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
$5,128.61 / $5,128.61 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,623.41 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,466.84 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $6,165.95 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $6,456.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $5,128.61 / $6,456.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,244.36 / $12,022.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,456.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $5,128.61 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61