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Mississippi rates for HCPCS J7196

Antithrombin Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.25 / $202.32 / $202.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.25 / $143.31 / $202.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.45 / $126.45 / $126.45
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.45 / $126.45 / $140.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $140.50 / $179.84