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Georgia 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
$2.97 / $9,292.35 / $26,575.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.97 / $2.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.48 / $7.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.40 / $3.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.13 / $6.14
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
$3.04 / $3.04 / $3.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $4.25 / $4.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.29