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Antithrombin Recombinant Injection

South Carolina rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Rates data updated July 2026.

How much does Antithrombin Recombinant Injection cost?

$138per 50 IU

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $138 for each 50 IU of this drug. The price depends on where it is billed: about $138 from a physician practice, and about $162 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
$138
At a hospital outpatient department
$162

The same drug, in the same amount, costs 17% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$138$138 to $145
FacilityA hospital or hospital-owned outpatient department$162$138 to $501

How much rates vary

Facilitymedian $162 · 10th to 90th $138 to $562Professionalmedian $138 · 10th to 90th $138 to $145
$10$20$50$100$200$500facility $162professional $138

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
$138.04
Median
$138.04
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$154.88

Where South Carolina 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.

South Carolina· 48th of 51

$138

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.