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Minnesota rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $168.60 / $168.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $139.94 / $168.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $112.13 / $214.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.65 / $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
$168.60 / $168.60 / $284.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $193.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $254.70