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New Hampshire rates for HCPCS J7197

Antithrombin III (human), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.57 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $10.72 / $17.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.57
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $6.76 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.07 / $6.17