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South Carolina rates for HCPCS J1162

Digoxin Immune Fab (Ovine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,260.00 / $5,426.64 / $21,092.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,593.57 / $5,426.64 / $8,049.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.28 / $1,338.97 / $5,403.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,968.80 / $7,067.55
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.64 / $5,968.80 / $12,415.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,224.33 / $7,224.33 / $7,224.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,323.28