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Antithrombin Recombinant Injection

Pennsylvania rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Rates data updated July 2026.

How much does Antithrombin Recombinant Injection cost?

$145per 50 IU

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $145 for each 50 IU of this drug. The price depends on where it is billed: about $145 from a physician practice, and about $229 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
$145
At a hospital outpatient department
$229

The same drug, in the same amount, costs 58% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 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$145$145 to $145
FacilityA hospital or hospital-owned outpatient department$229$145 to $372

How much rates vary

Facilitymedian $229 · 10th to 90th $145 to $525Professionalmedian $145 · 10th to 90th $145 to $145
$100$200$500$1K$2K$5Kfacility $229professional $145

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
$144.54
Median
$229.09
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$97.72
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$501.19
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$398.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$194.98

Where Pennsylvania 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.

Pennsylvania· 10th of 51

$145

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.