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Idaho 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
$134.88 / $143.31 / $145.00
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 / $143.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $153.69 / $207.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.69 / $113.69 / $139.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $196.70