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Rhode Island rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.95 / $547.95 / $547.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $143.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $148.93 / $157.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.74 / $151.74 / $151.74
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $140.50