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Arizona 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
$3.83 / $10.74 / $11,340.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $7.72 / $14.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.86 / $18.98
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $4.15 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98