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Minnesota 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
$3.58 / $3.58 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.97 / $3.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.27 / $6.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.04 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.59 / $3.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $2.35 / $3.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.58 / $7.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $4.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $5.52