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Missouri rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $5.35 / $42.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.23 / $5.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $6.97 / $14.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.87 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $5.04 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.09 / $4.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $4.09 / $4.74