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South Carolina rates for HCPCS J7168

Prothrombin Complex Concentrate (Human) Kcentra Per I.U. Of Factor Ix Activity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $11.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.94 / $2.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $3.06 / $4.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.58 / $4.30
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $3.53 / $3.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.94 / $3.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98