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Massachusetts rates for HCPCS J7196

Antithrombin Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $337.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.35 / $103.35 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $210.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.86 / $204.38 / $435.66
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $297.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $168.60 / $516.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $210.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $196.71