go back

North Carolina rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.11 / $5,073.47 / $7,967.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,593.57 / $4,593.57 / $6,021.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,328.17 / $2,793.82 / $10,470.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,513.19 / $3,513.19 / $4,968.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,968.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,593.57 / $6,150.19 / $6,565.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.58 / $476.58 / $476.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,198.16 / $8,198.16 / $8,198.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $6,718.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,874.72 / $6,874.72 / $25,841.15