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Hawaii rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $5.78 / $5.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.92 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.75 / $6.15
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.96 / $5.11