go back

Oklahoma rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $138.04 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $169.82 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25