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Antithrombin Recombinant Injection

Rhode Island 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 Rhode Island, 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 $148 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
$148

The same drug, in the same amount, costs 2% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 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 $151
FacilityA hospital or hospital-owned outpatient department$148$148 to $269

How much rates vary

Facilitymedian $148 · 10th to 90th $145 to $550Professionalmedian $145 · 10th to 90th $141 to $151
$200$500facility $148professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25

Where Rhode Island 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.

Rhode Island· 16th 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.