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Louisiana rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $168.60 / $236.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.60 / $168.60 / $168.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.47 / $129.93 / $151.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.74 / $151.74 / $154.77
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $239.56