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North Dakota 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 / $8,943.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $6,011.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,607.04 / $5,635.08 / $5,707.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,765.97 / $5,626.66 / $5,677.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.31 / $5,112.93 / $6,327.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,593.57 / $4,968.58 / $8,446.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,396.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,393.00 / $5,168.22 / $5,612.96