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Washington 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 / $4.86 / $7,739.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $3.04 / $3.04
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.41 / $6.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $3.04 / $6.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $3.65 / $6.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.22 / $3.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.84 / $5.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98