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Maryland rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.07 / $5.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $4.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98