go back

Maine 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 / $8.31 / $14,945.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.60 / $6.78
Anthem BCBS
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 / $3.04 / $3.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.31 / $8.31 / $8.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $8.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $4.47