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Oklahoma 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
$2.90 / $2.90 / $5.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.94 / $3.08
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.05 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98