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Nebraska 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 / $5,168.22 / $11,423.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $5,168.22 / $10,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,388.21 / $5,558.40 / $5,850.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,343.68 / $5,624.93 / $5,850.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.31 / $5,168.22 / $6,327.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,777.43 / $4,968.58 / $24,842.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,471.72 / $4,968.58 / $5,739.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,535.99 / $7,604.97 / $10,139.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.08 / $5,779.78 / $9,639.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,909.82 / $5,168.22 / $5,685.05