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Illinois 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 / $7,759.44 / $12,968.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $5,168.22 / $6,021.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.00 / $2,882.70 / $56,656.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.17 / $4,833.75 / $7,235.52
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,718.70 / $6,718.70 / $6,718.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,323.28