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Missouri 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
$2.00 / $3.80 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.24 / $7.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.55
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.55 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.95 / $3.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.63 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.95 / $3.55