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Oregon 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 / $7.16 / $7,906.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $6.08 / $6.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $4.25 / $6.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.78 / $5.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $3.94 / $6.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.73 / $3.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $3.52 / $7.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98