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Wyoming 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 / $4,968.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,968.58 / $4,968.58 / $5,168.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,073.47 / $5,968.80 / $5,968.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,875.68 / $4,875.68 / $4,875.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $7,313.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,168.22 / $5,168.22 / $5,168.22