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North Carolina rates for HCPCS J7168

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

Facilitymedian $4 · 10th–90th $3–$12,5890%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$2.88 / $3.63 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $4.57 / $7.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $2.95 / $3.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.63 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $4.07
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11