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Arizona rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $8.19 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.95 / $9.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $14.14 / $22.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.96 / $26.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $4.94 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09