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Tennessee 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 / $6,459.15 / $10,558.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $6,011.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,739.60 / $5,739.60 / $5,739.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,609.15 / $24,842.90 / $25,841.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $6,061.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22