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Oklahoma 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 / $5,366.07 / $9,122.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,581.69 / $5,581.69 / $5,581.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,617.15 / $4,128.02 / $6,546.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $4,875.68 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.60 / $5,168.22 / $5,168.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,780.19 / $4,968.58 / $7,673.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,168.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,538.33