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Virginia 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 / $6.57 / $21,970.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $4.51 / $7.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $4.63
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.98 / $3.81
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $2.98 / $3.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $3.60 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $2.98 / $3.58