go back

Kansas 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 / $3.58 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.53 / $3.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.58 / $4.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.58