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New Hampshire 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
$3.04 / $3.04 / $9,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $5.36 / $9.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.04 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.94 / $9.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $3.05 / $3.88