go back

Tennessee rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.94 / $181.92 / $277.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $139.94 / $139.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.60 / $168.60 / $168.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $239.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $516.75 / $632.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $154.55