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Pennsylvania 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 / $7.39 / $9,004.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.97 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.56 / $6.03 / $10.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $7.11 / $9,004.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.04 / $4.55
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Priority Health
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 / $4.12