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Virginia rates for HCPCS J7196

Antithrombin Recombinant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $156.50 / $309.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $168.60 / $218.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.47 / $140.50 / $179.84
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $140.50 / $179.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.22 / $140.50 / $168.60