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West Virginia rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.31 / $143.31 / $168.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.94 / $143.31 / $143.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $44,999.55 / $69,999.30
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 / $214.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $168.60