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California rates for HCPCS J7168

Prothrombin Complex Concentrate (Human) Kcentra Per I.U. Of Factor Ix Activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $7.16 / $16.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.97 / $5.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $3.62 / $7.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.04 / $6.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.15 / $4.92
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $7.90
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $4.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.87 / $5.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $6.14