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Wisconsin rates for HCPCS J7168

Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity

Facilitymedian $3 · 10th–90th $2$18,6210%20%10th90th$3Professionalmedian $3 · 10th–90th $2$30%20%40%10th90th$3$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.88 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $4.37 / $4.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2.57 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $4.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.55 / $3.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.16 / $4.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $3.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.40 / $2.40
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.19 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $4.07