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Oregon rates for HCPCS J7196

Antithrombin Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $337.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.94 / $139.94 / $143.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.62 / $286.62 / $286.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.94 / $200.11 / $300.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.54 / $185.46 / $300.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $175.63 / $175.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.80 / $155.03 / $503.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $140.50