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Alabama rates for HCPCS J7168

Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.04 / $5.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,048.61 / $3,699.63 / $4,977.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98