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Antithrombin Recombinant Injection

Massachusetts rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Rates data updated July 2026.

How much does Antithrombin Recombinant Injection cost?

$145per 50 IU

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $145 for each 50 IU of this drug. The price depends on where it is billed: about $145 from a physician practice, and about $178 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 50 IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$145
At a hospital outpatient department
$178

The same drug, in the same amount, costs 23% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$145 to $145
FacilityA hospital or hospital-owned outpatient department$178$158 to $234

How much rates vary

Facilitymedian $178 · 10th to 90th $145 to $339Professionalmedian $145 · 10th to 90th $145 to $229
$100$200$500$1K$2K$5Kfacility $178professional $145

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$512.86
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$177.83
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$239.88
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$512.86
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$147.91

Where Massachusetts sits

The same service costs 2.0 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 25th of 51

$145

CO $234KY $115

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.