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North Dakota 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 / $3.02 / $5.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.88 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.88 / $8.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.95 / $3.31