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Maine rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $10.23 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.68 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $10.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.07 / $5.89