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Utah 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 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.27 / $8.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95