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Kansas rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $168.60 / $168.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $168.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.21 / $174.36 / $232.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.52 / $146.52 / $146.52
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $168.60 / $201.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $165.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $168.60