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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
$134.90 / $141.25 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $144.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $208.93 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $186.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $63,095.73 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $173.78