go back

Rhode Island rates for HCPCS J1162

Digoxin Immune Fab (Ovine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,796.70 / $16,796.70 / $16,796.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,374.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,249.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22