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Utah rates for HCPCS J7196

Antithrombin Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.94 / $139.94 / $139.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.94 / $139.94 / $139.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $140.50 / $140.50