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Indiana rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $337.20 / $606.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.77 / $281.00 / $421.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.87 / $97.50 / $140.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.19 / $138.19 / $168.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.19 / $138.19 / $172.75
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 / $394.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $174.22