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Indiana 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
$2.86 / $7.15 / $12.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $4.28 / $6.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.62 / $3.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.16 / $4.16 / $5.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.04 / $8.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $4.36 / $4.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.58