go back

Alaska rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $323.59 / $794.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $134.90 / $229.09
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $371.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $323.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $208.93 / $281.84