go back

Kansas rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,067.95 / $5,968.80 / $21,861.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,581.69 / $7,235.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,209.49 / $5,838.37 / $6,145.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,480.65 / $5,480.65 / $5,480.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $4,875.68 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,780.19 / $5,518.80 / $6,956.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,624.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $4,968.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,739.60