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Missouri rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,370.32 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,370.32 / $14,454.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,623.41 / $25,118.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,011.87 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,888.44