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Idaho rates for HCPCS J7197

Antithrombin Iii Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.51 / $5.13
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $5.13 / $7.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.84 / $9.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $4.92 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.29