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Massachusetts rates for HCPCS J7168

Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity

Facilitymedian $4 · 10th–90th $3–$90%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$50%50%10th90th$3$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.79 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $6.46 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.27 / $7,079.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.13
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $8,709.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $4.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.19 / $4.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.02 / $3.16