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Illinois 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
$2.86 / $5.72 / $9.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $8.36 / $49.13
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.60 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.22