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Michigan rates for HCPCS J7168

Prothrombin Complex Concentrate (Human) Kcentra Per I.U. Of Factor Ix Activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $8.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $6.58 / $12.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.01 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.58 / $7.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.16 / $3.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.16