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Antithrombin III (Human) Injection

Maine rates for HCPCS J7197 · Thrombate III

Antithrombin III (human), per IU

Rates data updated July 2026.

How much does Thrombate III cost?

$4.27per IU

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $4.27 for each IU of this drug. The price depends on where it is billed: about $4.07 from a physician practice, and about $10.23 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$4.07
At a hospital outpatient department
$10.23

The same drug, in the same amount, costs 151% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.07$4.07 to $4.27
FacilityA hospital or hospital-owned outpatient department$10.23$9.55 to $10.23

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $12Professionalmedian $4 · 10th to 90th $4 to $5
$5$10facility $10professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$5.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.79
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.68
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$5.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$10.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.07
Typical High
$5.89

Where Maine sits

The same service costs 2.4 times more in Delaware than in Massachusetts. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 25th of 51

$4.27

DE $9.77MA $4.07

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.