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Oklahoma rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.57 / $136.57 / $271.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $136.57 / $136.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.45 / $143.31 / $143.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.57 / $168.60 / $632.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $140.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $140.50