go back

New Jersey 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
$3.89 / $4.90 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.63 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.39