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West Virginia 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 / $4,968.58 / $5,219.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,018.27 / $5,168.22 / $5,219.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,168.22 / $7,752.35 / $7,752.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $4,968.58 / $5,168.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $9,014.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,198.16 / $8,198.16 / $8,198.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,013.18 / $5,168.22 / $5,739.60