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California rates for HCPCS J7168

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

Facilitymedian $4 · 10th–90th $3$80%20%10th90th$4Professionalmedian $3 · 10th–90th $2$40%20%40%10th90th$3$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $7.41 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.63 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.02 / $6.17
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.39 / $4.27
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.80 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.27 / $8.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.89 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $6.76 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $7.41