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Pennsylvania rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $229.30 / $355.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $97.11 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.11 / $97.11 / $97.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $214.97 / $355.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.25 / $143.31 / $214.97
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $194.03