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Idaho 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
$2.86 / $3.04 / $3.08
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.26 / $4.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.41 / $5.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98