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Missouri rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $168.60 / $229.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $177.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.15 / $238.85 / $369.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.45 / $126.45 / $168.60
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 / $632.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.43 / $140.50 / $161.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.43 / $140.50 / $165.23