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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
$3.02 / $4.79 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.88 / $3.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $56.23 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $5.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $8,709.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $4.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.19 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.02 / $4.17