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Washington rates for HCPCS J1162

Injection, digoxin immune fab (ovine), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,098.85 / $8,075.12 / $10,336.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,029.96 / $5,685.05 / $6,021.92
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,763.87 / $7,166.16 / $13,854.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,356.96 / $5,968.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $4,875.68 / $12,294.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $6,338.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,968.58 / $6,210.73 / $10,749.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,251.92 / $7,643.91 / $13,376.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,974.32 / $5,500.45 / $5,835.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,593.57 / $5,732.93 / $10,636.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,676.16 / $11,676.16 / $11,676.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22