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Montana rates for HCPCS J7168

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98