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Kentucky 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 / $2.86 / $6.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.21 / $4.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.62 / $2.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.29 / $47,999.52 / $62,999.37
CareSource
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 / $4.55 / $4.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98