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Minnesota rates for HCPCS J7168

Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity

Facilitymedian $3 · 10th–90th $2–$60%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$30%50%10th$3$0.1$0.2$1.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $6.03 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.75 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.29 / $3.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.55 / $7.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.09 / $5.50