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South Carolina 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
$2.00 / $10.72 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.88 / $5.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.72 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.55 / $3.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.31 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.19 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.31