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Texas rates for HCPCS J7196

Antithrombin Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $209.06 / $384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $138.25 / $186.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.50 / $355.61 / $709.52
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $516.75 / $632.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.72 / $168.60 / $197.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.45 / $126.45 / $126.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $197.70
Providence
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
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $189.68