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Antithrombin Recombinant Injection

Ohio rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Rates data updated July 2026.

How much does Antithrombin Recombinant Injection cost?

$155per 50 IU

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $155 for each 50 IU of this drug. The price depends on where it is billed: about $135 from a physician practice, and about $339 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 50 IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$135
At a hospital outpatient department
$339

The same drug, in the same amount, costs 151% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$126 to $162
FacilityA hospital or hospital-owned outpatient department$339$170 to $372

How much rates vary

Facilitymedian $339 · 10th to 90th $135 to $562Professionalmedian $135 · 10th to 90th $98 to $339
$100$200$500$1Kfacility $339professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$363.08
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$138.04
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$169.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$436.52
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.18
Typical High
$0.19
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$151.36

Where Ohio sits

The same service costs 2.0 times more in Colorado than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 9th of 51

$155

CO $234KY $115

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.