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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
$2.95 / $3.63 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.17 / $5.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $4.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.29 / $2.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.27 / $8.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $3.39 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $5.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95