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Massachusetts 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
$3.04 / $4.98 / $16,483.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $4.34 / $9.25
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $6.31
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $8,610.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $4.17