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Vermont rates for HCPCS J1162

Digoxin Immune Fab (Ovine)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $8,536.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,850.83 / $5,850.83 / $5,850.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $5,624.81 / $9,374.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $5,624.81 / $9,374.68
MVP Health Care
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
$4,878.66 / $5,168.22 / $7,950.34