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Louisiana 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 / $5,219.91 / $10,980.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $5,219.91 / $6,011.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.54 / $568.53 / $5,465.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,465.44 / $5,465.44 / $5,574.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,064.87 / $5,168.22 / $5,739.60