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North Carolina 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
$2.88 / $3.63 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.39
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 / $3.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.09 / $3.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.63 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11