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Antithrombin Recombinant Injection

Connecticut rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Rates data updated July 2026.

How much does Antithrombin Recombinant Injection cost?

$162per 50 IU

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $162 for each 50 IU of this drug. The price depends on where it is billed: about $141 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 50 IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$141
At a hospital outpatient department
$240

The same drug, in the same amount, costs 70% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$117 to $145
FacilityA hospital or hospital-owned outpatient department$240$191 to $417

How much rates vary

Facilitymedian $240 · 10th to 90th $162 to $468Professionalmedian $141 · 10th to 90th $117 to $145
$100$200$500facility $240professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$144.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$154.88

Where Connecticut sits

The same service costs 2.0 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 8th of 51

$162

CO $234KY $115

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.