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North Carolina rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $169.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $151.36 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $181.97
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86