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Utah 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
$2.97 / $2.97 / $2.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $2.97 / $2.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.59 / $6.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.98 / $2.98