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Idaho rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $4.90 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.90 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $4.07 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $5.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.89 / $8.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $5.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.62