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Alabama rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.25 / $143.31 / $238.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.53 / $580.72 / $781.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $226.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $140.50