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Maryland 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 / $4,968.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $6,657.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $6,582.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,165.64 / $5,168.22 / $5,168.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $8,376.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,069.97 / $5,069.97 / $5,069.97