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Ohio 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
$2.86 / $7.77 / $11,991.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $7.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.79 / $6.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.98 / $6.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.78 / $6.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $3.78
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 / $4.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $4.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $2.66 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $3.22