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Louisiana 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
$3.58 / $3.58 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.49 / $3.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.22 / $3.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,145.46 / $3,145.46 / $3,145.46
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.98 / $3.58