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Minnesota rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,496.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $10,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,566.89 / $5,381.93 / $9,582.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,974.86 / $4,968.58 / $4,968.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,218.21 / $15,863.17 / $19,312.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,112.93 / $5,843.60 / $6,429.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,951.27 / $14,476.18 / $18,168.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.31 / $5,062.31 / $6,884.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.46 / $4,968.58 / $8,396.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $6,857.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $9,581.90