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Utah rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,763.55 / $5,995.15 / $5,995.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,995.15 / $5,995.15 / $5,995.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,930.92 / $6,985.88 / $7,700.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,975.06 / $9,650.43 / $13,854.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22