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Nebraska 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
$3.58 / $6.24 / $7.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.58 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.99 / $5.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.41 / $3.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $2.66 / $5.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.98 / $3.28